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MultipleInspection Worksheet Miami Shores Village L 10050 N.E. 2nd Avenue Miami Shores, FL fitoat'► Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 11/17/2006 %00%a�. Inspector. Grande, Claudio NOV 211006 Owner: ROMAN, WILBERT Job Address: 233103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Permit Type: Imported Permit Inspection Type: Final Work Classification: Roof - New Phone Number Parcel Number 1121360130400 Block: Lot: Contractor: THE HOME DEPOT AT HOME SERVICES Phone: 954- 979 -2137 Buildina Deuartment Comments Ll I L. LX Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, November 16, 2006 Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: ROMAN, MLBERT AIM2560 Work Classification: Roof - New Job Address: 233103 Street NE Miami Shores Village, FL 33138- Phone Number Parcel Number Project: <NONE> Block: Contractor: THE HOME DEPOT AT HOME SERVICES Buildina Deoartment Comments Lot: 1121360130400 Phone: 954- 979 -2137 Replace all broken tiles trough the entire roof. 8/25/06 CG. Uplift report OK. see attached. Inspector Comments Passed q-6J'V'1_LAJ_W_ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Friday, August 25, 2006 Page 1 of 2 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 8/15/2005 Expires: 10/31/2006 Permit Number: BP2005 -1199 Owner's Name: WILBERT ROMAN one: Permit Type: Imported Permit Parcel #: Work Classification: Roof - New Block: Job Address: 233 103 Street NE Section: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor THE HOME DEPOT AT HOME SERV 954 -979 -2137 Yes Comments: RE -ROOF TEAR OFF EXISTING TILES AND REPLACE Additional Information Perm Type: Building Alpha Four: RE -ROOF Alpha Six: SINGLE FAM Pay Amount: 351.4 Bond Return : Alpha Two: RE -ROOF Alpha Five: RESIDENTIAL Pay Date: 9/1/2005 Pay Comments: PD BY CK # 4797 me of tnis permit, I agree coverea nereunaer in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount Total: d C-4 4:�-4 -1°i-7 Building Department File Copy Applicant Signature 1121360130400 Lot: PB: Total Square Feet: 0 Total Valuation: $ 18,840.00 Total: O NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BiTILDING PERMIT Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building or other structure herein dewribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A 9W of approved plans and specifications must be kept at building, during progress of the work. r Date ^� I a \ 19 C39- �,. Owner's Name and Address -M 12 1 \ �� \ \ C�� No. Street r— / O3 SAAZ �C--�' Registered Architect and/or Engineer Name and address of licensed contractor Location and legfil description of lot to be built on: ` ,� \ lc O \ ,3 v Block /r Subdivision / � Street and Number where work is to be done - e F E 4 State work to be done and purpose floors), of building (by ors), state exterior colors (submit samples) \ /U �'s ll n �lw a qzv e P(4 \/EnA and for no other purpose. New Building Remodeling Addition+ Repairs No. of Stories lb be constructed of Kind of foundation ] Roof Covering Estimated 1btal cost of improvements $ _S�, 'L-\ Amount of Permit $ Zane cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor or I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does bereby certify that he understands and =M#41s obligators as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed u ' permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersi employ only such subcontractors on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed z STATE OF FLORIDA ✓ COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construct m, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. / / Date Read, Sworn to and Subscribed before me. 1 Disapproved Date Notary Public, State of Florida (Signed) NN Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council. Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Sham Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at budding during progress of the work. "(7 Datp 19 Owner's Name and Address Na Street Registered Architect and/or Engineer Nam and address of licensed contractor Location and legal #escription of lot to be built on: Lot ,12E �A 10/ Block // 9 — Subdivision M Z, and Number where work Is to be done 49i�te work to be done and purpose of budding (by floors), state exterior colors (submit samples) 6 � ✓y L7' and for no other purpose. New Building Remodeling Addition Repairs- No. of Stories 7b be constructed of Kind of found. th. Roof Covering 67 L. > stimated Total cost of , ovements $ Amount of Permit it Zone cubage required Plan 06 94W tf 7 Cubw Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building All notices with reference to the building and its construction may be sent to The undersigned applicant for this budding permit does hereby certify that he unilerstands and accepts his obligatons as an employer of Labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will rewire similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit, and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only ph, subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village -1 Uk2,, Remarks (Signed) STATE OF FLORIDA COUNTY OF DADS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true Permit No. 52 21-329� Date r/c;?SIF�Read, Sworn to and Subsafbed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Council Approved Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $25.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. VO ADD i 1480 SW 96th TER DAVIE, FL 33324 July 27, 2006 INSPECTION, STUDIES, DESIGN & TESTING SERVICES www.cebb.net To: Village of Miami Shores Building De?artment 10050 NE 2° Avenue Miami Shores, FL 33138 Roof Tile Uplift Test Report Phone. (954) 581 -7115 Fax. (954) 581 -2415 Test Date: July 27, 2006 Permit #: BP 20051196 Address: WILBERT ROMAN Residence 233 NE 103RD STR., Miami SHORES Fl Contractor: TI-ED at Home Services, Inc Roof Pitch: 3:12 Attachment method: Two Component Polyuredwe Foam Adhesive — Poly Pro AH 160 OA 01 -0521.02 Tile Type; Volcan Clay Roof Tile (040426.04 Device Used "IMADA" DPS 110 force gauppe Serial # 141590E Total Sloped Roof Area: 24.20 squares All Testing is in strict accordance with the Florida Building Code, 2004 Edition, High Velocity Hurricane Zone — Testing Application Standard (TAS) 106. Roof Area: 2420 squares Total Number of Tests Number of tests Passed % Passed Field Area: 10.60 squares 6 6 100% Perimeter Area: 13.60 squares 14 14 lw% No. of Corner Areas: 7 7 7 1000/0 Based upon the field tests, I certify that 1000/6 of the static up -lift tests "PASSED" the testing criteria of 35.0 lbf loads, and meet the attachment resistance for adhesive Set Systems, as specified in the NOA. Should you have any questions regarding the above, or if require additional information, please do not hesitate to contact this office. Sincerely, CeBB, Corp. . (NO A 06-0320.14 revises NOA 03- 1112.02) �1, E 4Re. Badlu,. P. . Fo: 59997 Cc: THD at Home Services, Inc. Enc. Location Sketch Calibration Certificate QMF-11-NISTS February 17, 2006 DPS- 110 110.2 1bf 0.2% F.S.+ILSD 0.1 1bf 141590E CONDITIONS Temperature: 74° F Humidity: 191/olkH This document certifies that the above instrument has been calibrated and tested in accordance with factory, calibration procedures conducted under the conditions noted using standards winch are traceable to the National Institute of Standards and Technology (NISI). This document not to be reproduced without written authorization from EMADA INC. Report#021706-141590 TEST RESULTS TEST POINT 0A Date: 1) Model Number: N- Capacity: 0.0 Accuracy: 3) Resolution: -109.9 Serial Number: February 17, 2006 DPS- 110 110.2 1bf 0.2% F.S.+ILSD 0.1 1bf 141590E CONDITIONS Temperature: 74° F Humidity: 191/olkH This document certifies that the above instrument has been calibrated and tested in accordance with factory, calibration procedures conducted under the conditions noted using standards winch are traceable to the National Institute of Standards and Technology (NISI). This document not to be reproduced without written authorization from EMADA INC. Report#021706-141590 TEST RESULTS TEST POINT 0A ACTUAL Obf) 1) - 110.0 110.3 2) 0.0 0.0 3) -110.0 -109.9 4) 16) 5) 18) 6) 119) 7) 8) 9 I TEST POINT ACTUAL 11) 12) 13) 14) 15) 16) 17) 18) 119) 120 W WO-WaN E I BIADA, INC. •3100 Dundee Rd., Suite 707 *Northbrook, Illinois 60062 http://www.imada.com E-Mail: imada@hnada.com 1-800-373-9989 I- w 1480 SW %th TER DAVIE, FL 33324 July 27, 2006 To: Village of Miami Shores Building Department 10050 NE 2_ Avenue Miami Shores, FL 33138 Roof Tile Uplift Test Report Test Date: July 27, 2006 Permit #: BP 20051196 Address: WILBERT ROMAN Residence 233 NE 103RD STR., Miami SHORES Fl Contractor: THD at Home Services, Inc Roof Pitch: 3:12 Attachment method: Two Component Polyurethane Foam Adhesive — Poly Pro AH 160 OA 01 -0521.02 Tile T Volcan Clay Roof Tile 040426.04) Device Used "IMADA" DPS 110 force gauge (Serial # 141590E Total Sloped Roof Area: 24.20 squares All Testing is in strict accordance with the Florida Building Code, 2004 Edition, High Velocity Hurricane -Zone - Testing Application Standard (TAS) 106. Roof Area: 2420 squares Total Number of Tests Number of tests Passed % Passed Field Area: 10.60 squares 6 6 1000/0 Perimeter Area: 13.60' squares 14 14 100% No. of Corner Areas: 7 7 7 100% Based upon the field tests, I certify that 100% of the static up-lift tests "PASSED" the testing criteria of 35.0 lbf loads, and meet the attachment resistance for adhesive Set Systems, as specified in the NOA. Should you have any questions regarding the above, or if require additional information, please do not hesitate to contact this office. Sincerely, CeBB, Corp. (NOA 06- 0320.14 revises NOA 03- 1112.02) .. �! 1 �v I P E > E, adiu, P. F a. Reg. No: 59997 Cc: THD at Home Services, Inc. Enc. Location Sketch Calibration Certificate TEST RESULTS TEST POINT b ACTUAL b 1 ° QMF- 11 -NISTS 110.3 ° CALIBRATION CERTIFICATE 0.0 Date: February 17, 2006 3 Model Number: DPS -110 CONDITIONS -109.9 Capacity: 110.2 IV Temperature: 74° F Accuracy: 0.2% F.S.f1LSD Humidity: 190 oRH 5 Resolution: 0.1 IV Serial Number: 141590E 7 This document certifies that the abo ®e instrument has been calibrated and tested in accordanFe with factory, calibration procedures conducted under the conditions noted using standards 9 which are traceable to the National Institute of Standards and s Technology (KIST). This document not to be reproduced without written authorization from IMADA INC. Report#021706 -141590 TEST RESULTS TEST POINT b ACTUAL b 1 110.0 110.3 2 0.0 0.0 3 -110.0 -109.9 4 5 6 7 8 9 10 .. 1'ti11 �� 9 2� 0 Signed by: a 1 9 a l A r IMADA, INC. 03100 Dundee Rd., Suite 707 •Northbro�ot k_ , .� : .I9A_al.' : l� 1 i7 _t no _ i� s � t 6 .. 0 �1 10, 4 6_ ��' 2 http: / /www.imada.com E -Mail: imada@unada.com 1 -800- 373 -9989 w zi TEST POINT ACTUAL b 12 13 14 15 16 1 18 � C� ? Inspection Date: 09/28/2006 Inspector: Grande, Claudio Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: ROMAN, WILBERT Job Address: 233103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: THE HOME DEPOT AT HOME SERVICES Buildina Denartment Cnmmpnt_c Permit Type: Imported Permit Inspection Type: Final Work Classification: Roof - New Phone Number Parcel Number 1121360130400 Block: Lot: Phone: 954- 979 -2137 No approved permit available for final inspection. No Uplift Report available at Final Inspection. No one home at time of inspection. 9/28/06 CG. Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, September 28, 2006 Page 1 of 2 VA Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 09/25/2006 Inspector. Desharnis, George Owner: ROMAN, WILBERT S" 2 5 Job Address:' 233103 Street-NE Miami Shores Village, FL 33138- Project: <NONE> d Contractor: THE HOME DEPOT AT HOME SERVICES Buildina Department Comments Block: Permit Type: imported Permit Inspection Type: Final Roof Work Classification: Roof-- --New Phone Number Parcel Number Lot: 1121360130400 Phone: 954- 979 -2137 -IC, Friday, September 22, 2006 a r' I S�� G , Page 1 of 2 Passed El Inspector Comments d p r of , .4— c r- r Failed Correction Needed ❑ Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. 9 t -IC, Friday, September 22, 2006 a r' I S�� G , Page 1 of 2 Bill To WILBERT ROMAN 233 NE 103 ST MIAMI SHORES, FL 33138 -2430 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305y795 -2204 Fax: {305y756 -8972 Invoice Number: imp -8 -06 -25977 Invoice Date: August 22, 2006 Permit Number: BP2005 -1199 Date Fee Name Fee Type Fee Amount 08/22/2006 Miscellaneous Calculated $200.70 Total Fees Due: $200.70 Payments Date Pay Type Check Number Amount Paid Change 08/22/2006 Check 7104 $200.70 $0.00 Total Paid: $200.70 Total Due: $0.00 Tuesday, August 22, 2006 b, .I Inspection Date: 07/19/2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector: Desharnis, George JUL U 21 Owner: ROMAN, WILBERT Job Address: 233103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Permit TyCl ction Ty : Tile In Progress Work Classi oof - New Phone Number Parcel Number 1121360130400 Block: Lot: Contractor: THE HOME DEPOT AT HOME SERVICES Phone: 954 - 979 -2137 Buildina Deoartment Commentc Tuesday, July 18, 2006 Page 1 of 2 Inspector ments Passed � PFailed LA. S Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Tuesday, July 18, 2006 Page 1 of 2 Project: Owner: Phone: Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 <NONE> WILBERT ROMAN Job Address: 233 103 Street NE Parcel: 1121360130400 Miami Shores Village, FL 33138- Block: Lot: ocneauiea msp # Inspection Tvpe Inspection Status Inspector Date Completed 04/20/2006 INSP -15330 Tin Cap Denied /Re- Inspection fe Claudio Grande 4/20/2006 ROOFING PERMIT NOT POSTED FOR INSPECTION 04/24/2006 INSP -15506 Tin Cap CANCELLED Claudio Grande Not Complete MAGGIE CANCELLED BECAUSE RE- INSPEC FEE HASN'T PAID OFF. 06/05/2006 INSP -19077 Tin Cap APPROVED George 6/5/2006 Deshamis 06/07/2006 INSP -19333 Hot Mop APPROVED George 6/7/2006 Deshamis 06/0812006 INSP -19499 Hot Mop APPROVED George 6/8/2006 Desharnis 07/19/2006 INSP -22622 Tile In Progress Pending Inspection George Not Complete Deshamis Tuesday, July 18, 2006 Page 1 of 1 Inspection Worksheet Miami Shores Village L 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 06/08/2006 Inspector: Desharnis, George Owner: ROMAN, WILBERT Job Address: 233103 Street NE Miami Shores Village, FL 33138- P Permit Type: Imported Permit Inspection Type: Hot Mop Work Classification: Roof - New Phone Number Parcel Number 1121360130400 ro�ect. <NONE> Block: Lot: Contractor: THE HOME DEPOT AT HOME SERVICES Phone: 954- 979 -2137 Buildina Department Cemmanta Wednesday, June 7, 2006 Page 1 of 2 Passed N1 Inspector Comments Failed 4r ..� Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, June 7, 2006 Page 1 of 2 5 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL L- Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 06/07/2006 Inspector: Desharnis, George Owner: ROMAN, WILBERT Job Address: 233 103 Street NF Miami Shores Village, FL 33138- Project: <NONE> -0M Contractor. THE HOME DEPOT AT HOME SERVICES Building Department Comments Permit Type: Imported Permit Inspection Type: Hot Mop Work Classification: Roof - New Phone Number Parcel Number 1121360130400 Lot: Phone: 954 -979 -2137 Tuesday, June 6, 2006 Page 2 of 2 Passed Inspector Comments 1 Failed El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, June 6, 2006 Page 2 of 2 Inspection Worksheet too Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 06/05/2006 Inspector: Desharnis, George Owner: ROMAN, WILBERT Job Address: 233103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Block: Permit Type: Imported Permit Inspection Type: Tin Cap Work Classification: Roof - New Phone Number Parcel Number Lot: 1121360130400 Contractor: THE HOME DEPOT AT HOME SERVICES Phone: 954- 979 -2137 Buildina Department Comments Friday, June 2, 2006 Page 1 of 2 Infractlo Passed Comments TIN CAP SPACEING False Passed Inspector Comments Failed E]_ Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Friday, June 2, 2006 Page 1 of 2 Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 BP2005 -1199 Project: <NONE> Owner: WILBERT ROMAN Phone: Job Address: 233103 Street NE Miami Shores Village, FL 33138- Parcel: 1121360130400 Block: Lot: 0412012006 INSP -15330 Tin Cap Denied/Re- Inspection ROOFING PERMIT NOT POSTED FOR INSPECTION 0412412006 INSP -15506 Tin Cap CANCELLED MAGGIE CANCELLED BECAUSE RE- INSPEC FEE HASN'T PAID OFF. 06105/2006 INSP -19077 Tin Cap Pending Inspection Imported Permit Claudio Grande 4/20/2006 Claudio Grande Not Complete George . Not Complete Friday, June 2, 2006 Page 1 of 1 Inspection Date: 04/20/2006 Permit Type: Imported Permit Inspector: Grande, Claudio Inspection Type: Tin Cap Owner: ROMAN, WILBERT Work Classification: Roof - New Job Address: 233103 Street NE Miami Shores Village, FL 33138- Project: <NONE> Phone Number Parcel Number 1121360130400 Block: Lot: Contractor. THE HOME DEPOT AT HOME SERVICES Phone: 954- 979 -2137 Building Deaartment Comments Wednesday, April 19, 2006 Page 1 of 2 Infractlo Passed Comments TIN CAP SPACEING False Passed Inspector Comments lop P� ,. Failed El Correction Needed � Re- Inspect' 4 y0 O�o Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, April 19, 2006 Page 1 of 2 71! Village, 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/15/2005 Applicant: WILBERT Owner: ROMAN JOB ADDRESS: 233 NE 103 on, Permit Number: BP2005 -1199 ROMAN WILBERT ST Contractor THE HOME DEPOT AT HOME SERVICES Contractor's Address: 1250 LINTON BLVD Local Phone: 954- 979 -2137 Page 1 of 1 Parcel # 1121360130400 Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOT 15 & W1 /2 OF LOT 16 Fees: Description Amount FEE2005 -11196 Building Fee $325.00 Total Fees: $351.40 FEE2005 -11197 CCF $11.40 Total Receipts: $0.00 FEE2005 -11198 Training and Education Fee $3.80 FEE2005 -11199 Technology Fee $8.20 FEE2005 -11200 Scanning Fee $3.00 Total Fees: $351.40 BLK 119 Permit Status: APPROVED Permit Expiration: 2/8/2006 Construction Value: $18,840.00 Work: RE -ROOF TEAR OFF EXISTING TILES AND REPLACE SEP 01 PAID 4-7 Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: HOME IMPROVEMENT CONTRACT , i Sold, Furnished and Installed by: Branch Name: Date: ' 7� THD At -Home Services, Inc. d/b /a The Home Depot At -Home Services 1250 Linton Blvd, Delray Beach, FL 33444 Branch Number: Job #: , (561) 742 -1567; Fax: (561) 742 -1568 I Jo 1 0-7. FL Lic # CGC1506093, CRC058500, CCC1325818 Installation Address: �` �� 1403 S/ ��j� ° ��'S 3.51' Pyrchasex(s): 1 (/ nr1ve0c i.ir_ H& V..— n.f.- City State Zip W-11 DU--. v__ m Home Address: If If (If different from Installation Address) Ci A OUD State Zip JUL 1 /UUS Proiect Information: I/We/You ("Purchaser"), the owners of located at the abo a installa 'on address, offer to contract with Home Depot U.S:A, Inc. (" me D t" to furnish, a iver an latic X11 materials as described on the attached Spec Sheet #: , incorporated herein by reference Home Depot reserves the right to cancel this contract if, upon re- inspection of the job, Home Depot determines that it cannot perform its obligations due to a structural problem with the home or because work required to complete the job was not included in the contract. CONTRACT AMOUNT I i *LESS DEPOSIT $ 41711), BALANCE DUE ) ON COMPLETION $/ A0' linimum 25% of Contract Amount due upon execution this contract. Indicate Payment Method For BALANCE DUE ON COMPLETION: '04 7w,7 &%5'1 DEPOSIT PAYMENT OPTIONS (Subject to-fund verification and/or credit approval.) 1. Check, Cashiers Check or US Postal Service Money Order (Made payable to The Home Depot). 2. Credit Card* and/or other payment options - Circle One Below Visa MasterCard Discover American Express The Home Depot Home Improvement Loan Cae Home Depot Credit Card Available Credit: $ ( & HDCC ONLY) �03S3�ocidl��'� a . Name as it appears on cv6*101 *13y my ur ignatur below, a agree to allow Home Depot to charge the above refe ed e c or sit indicated. Cardli der's Signature HIL or HDCC Authorization Codes Deposit Final Payment # ,0 0 # 0 7 6 73rd' Purchaser agrees that immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments, including airy financing agreement, contain the complete agreement Between a parties and can not be amended or modified unless in writing m a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it You are entitled to a completely filled -in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign any Completion Certificate or agreement stating that you are satisfied with the entire project before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by tht owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction at any time rtor to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will a service charge equal to 25% of the contract amount if the job is cancelled by Purchaser AFTER the third business day. BY MY /OUR SIGNATURE BELOW, I/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. I/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. BY MY /OUR SIGNATURE OW, /WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY /OUR CREDIT HISTORY AND AU ORIZE HOME DEPOT AUTHORIZED CONTRACTOR, TO VERIFY AND REVIEW MY /OUR CREDIT RECORD AN E EN CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM S OR ERRORS. /,IV131-1A$� SUBMITTED BY: Date: ((/ r4l ra ACCEPTED BY: TTV Date: [� Homeown Date: Homeowner NOTICE: ADDITIONAL TERMS, CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT* White — Branch File Yellow — Customer Pink — Sales Consultant 11 -12 -04 C -SC NOTICE OF COMMENCEMENT A RECOI11DED COPY MIST BE POSTED ON THE JOB SITE N TWE OF FMST =W= PERMIT NO. -----TAX FOLK) NO. (A) k3l 64 bC STATE OF FLORIDA:- COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice #tat Improvernerb will be made to owWn real property, and In accordance with Cluipter 713, Flodda Statutes, the folloMrig Information Is provided In ffft Notice of Cbrnmencernent tA 1. Legal desCrI tion of property and streeVaddrew at \ 1'1 2. Description of. -improvement: —V0—VAC'C'X-- 3. Owner(s) name and address: (k)►1�612V aMck4l :I U � t is -.-z interest in property. - 1) W Name and address of fee sknple Weholder 4. Contractor's name and address: . 11111111111111111111111f CFN 2005ROB50800 OR Ok 23674 P9 16601 (1ps) RECORDED 08/12/20015 13100:47 HARVEY RUVINP CLERK OF COURT HIA111-DADS COUNTYP FLORIDA LAST PAGE t 5. Surety: (Payment bond required by ow from contractor, if any), f Name and address: COU , !�X O�� RE Co STATE OF FLORIDA g� - ID COIJ� Amount of bond $ original col;cle on 4— 9' in 6. Lender's narne and address: 77 7. Persons wWn the state 9f des' Florida ;=�Sdtel ed by Owner upW w notices Im docu�rnerrts rn provided by Section 713.'13(-1Xa)7., tut9l", Name and address: 8.• In addition to fiirrr;ilf, Owners deilgriates the fbIlowing person(s) to receive a d7py of the Lianors Notice 88 provided In Section 713.13(1)(b), Florida Statutes. Name and address: Irefflon ale of thl Notice of Commencement: (ft expiration date Is I year from the date of recording unless a 0 '9. di Is Signature of Print Ownees=ame Prwa►ed by Sworn to and suoggribed bef me day of 41 .20jit4- Address: Notary Pub11CL- Wr Print Notary's Name 5. ":r* My commission expires: 12W-82 PAGE 4 &W 1�6% #DD445379 J-xf -Z ""41, Z/C IF 7 : ; • • • • • • . •� � nom•; f C.i ua-gH �tiKi . . . . • . . . . . . . . . . . . . . . . . . - w /off( ��,Roof 01-1 Tv" Tv" E 3 too B (Root Elm �► -TY .......... . Cl • • .e•e.•••• s '" •.e.• • •• r .... ' • • . . . . . . . . . . . . . NbUCS of Number. IZ-1c- oil J-I-L— F3.1 TIl 06(* Type: Roof alopi- 7 - ------------ I:Z Rkfge VantHadon? Type & spachlo-, /V It YFM r Z' P- :F8 5/03 PAGE 4 4 4ke Dsip • *eoppubsto 00 • • • 0,08: • • • • • Moan 000 CUO Roof He�ght.. 0 00 • 0 • • • 0 • ate • • 0 :0, ••• • • • • Z' P- :F8 5/03 PAGE 4 4 4ke Dsip Florida Building Code e zone Urftm A MOOD E (Tile CalCulaflons) For Marro mt based Me systems, chase either Method 1 or 2. Compared the values for M,wltth the values from hl f if IbeMtvaiass are greater than or equal to the Mr vdlum for each area of the r94 then the tote attacikmeo method is acceptable• Method 1 " W oment Based Tile Calculations Per RAS 127" NOA r* t A c - `4 —Mg: 62A 0 = M, NOA 4 tO, Lf 3 Method 2 "Simplified Tile Calculation Per Taber Below" Required Moment of Resistance (W From Table Below 307-1 9 NOA Mr s g *Must be and in conjunction with a list of moment based We systems endorsed by the Broward County Board of Rolm and Appeals. For Uplift based dle systems am Method 3. Compared the values for F' with the values for F,. If the F' values are greater than or equal to the F, values, for each area -of the rood then the the attachment method is acceptable. Method 3 "Uplift Based Tile Caledatlos Per RAS 127' w:- __} —W: xcosB: = FI: NOAF w: -_ ,J— W: x cos @: = Fro. NOA F {P3 : x L• = x w: ffi _ — W: x esis 8: = F,3: NOA F" ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. 123 01-" 5103 PAlIF 5 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNER NOTIFICATION FOR ROOFING CONSIDERATION 1524.1 As it pertains to this section, it is the responsibility of-the roofing contractor to provide the owner with-the required roofing permit, and to explain to I the owner the content of this section. The provisions of Chapter 15 of the Florida Building- Code, Buikhng govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's.initial.in the box adjacent indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics !appearance) are not a consideration with respect to workmanship trovisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement . between the owner and the contractor. . 2. Renailiing Wood Decks: When replacing roofing, the existing wood roof deck may have to be rena ded in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Budding Code. ('The roof deck is usually concealed.prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, - etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. Ok" 64 t 4. Exposed Ceilings: Exposed; open beam ceilings are where the underside of the roof decking can be viewed from .below. The owner may wish to maintain the architecdaa4ppearance; therefore, roofing nail penetrations of the ' underside of the decking may not be acceptable. The Florida Building Code provides the-option of maintaining this -- ce 5. Ponding Water: The current roof system and/or deck of the building may not drain well And may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until-the original roofing system is removed. Ponding d i tons should be cariecterl.. ` .. . , , ' - . . �6. Overflow Scuppers (Wall Outlets): It is required that rainwater flows off so that the roof is not overloaded PPe � from a buildup of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of ZFlorida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assemb a building itself). The amount of attic ventilation shall not be reduced. It may be beneficial to consi additr venting which cla result ;n ex6endiag �re�sal ce life of the roof. • . • . . • • 0. 'sJAgerrts Si : • • t �. .•. . Co zz- 's Signature • • MIAMM RMWI uIG CODE COMPLi c& OFFICE (11CCO) PRODtWr CONTnM DNW01V 06/12/2003 10:36:38 AM P.6 MIAMI -nanB GOUM, FLORIDA W=O -DADS R AMER BUILDING 140 WEST FLAGLEA.STtt1iET, SUM 1013 MIAMI, FLORIDA 33130 -1563 (305) 375.2901 FAX M 375 -2"9 _ NOTICE OF ACCEPTANCE (NOA) Molder Lifetl%, LLC 135 NW 200 Street 80" Raton. FL 33431 SCOPE: This NOA is being issued wader the applicable Hiles and regulations governing the use of construction materials. The documentation submitted bas been reviewed by Miami -Dade County Product Control Division and accepted by the Board ofRules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having jurisdiction (AElp. This NOA shall not W valid after the expirabon, date stated below. The Ubm i -I]ade qty Product Control Division (in Miami Dade County) and/or the AHI (in areas other than IViiami Dade Cam) reserve the right to have this product or material tested for quality assui=ce per. if this product or material fails to perform in the accepted mom, the manufacturer will incur the expense of such testing and the AHj may immediatly revoke, nWdify, or suspend the me of such Product or mataW within their jurisdiction. DORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fads to meet the requirements of the applicable building code. Tula product is approved as described herein. and has been designed to comply with fire High Velocity amieame Zone of the Florida Building Code. DESCRIPTION: A,tlexids Shake & Slate Canerete Roof Tie LABELING: Each unit shall bear a permanent label with the mranufaerturces name or logo, city, state and following statement- "MMUM Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has bear filed and there has been no change in the applicable building code negatively affecturg the perfwriamce of this product, TEPI*W*IATION of this NOA will occur after the expiration daft or if there has beery a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically termirwe this NOA. l~ailu m to comply with any section o € this NOA shall be cause for ttrminabort and removal of NOA. ADVERTMM E'NT: 71w NOA number preceded by the words Miami -Dade County, Florida, and followed by fire expiration date nVy be "disgdayexd in advertising literature. If any portion of tire, NOA is displayed, then it shall be done in its entirety. INSPECITON: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages I through 6. The submitted documentation was reviewed by Frank Zuloaga, RRC .. ... . . . .. .. . ...... ••. . .. ... .. . . ..• C3 d NOA Nez 024211.00 E:piratioa Daft; 12116/97 • • 00: • • • • . Apprewd Date: 01 /W#3 •.. : •.• race 1of6 : . •• : . : : • • • • • •• • • • • ••• • • • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • 06/12/2003 10 :36:38 AM P.5 ROOFING ASSEMBLY APPROVAL ory: Roofmg Sub- Category: Flat Profile Roofing Tiles Material: Concrete 1. SCOPE This mncws a system using Monier Lifetile Atlantis Shake &Slate Concrete Roof Tile, as WAaufactured Monier Lifetile LLC and described m Section 2 of this Notice of Acceptance. For locations where the pressure tequu meats, as wed by applicable Building Code does not exceed the design pressure values obtained by calaulaiions in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Mauuf by ARPRoW pho"Kiwas Monicr Uictile Atlantis Stake and Slate Tile Trine Pieces 1 =15" W— 10'/8" 1 W thick I = varies W = varies varying thickness 2.1 SUBMITTED EVIDENCE: TestTest#aencv Redland Technologies The Center for Applied Engineering, Im. The Center for Applied Engineering, hw. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc_ r � , 1, MT PA 112 Flat, interlocking, high pressure extruded concrete drake and slate roof the equipped with two hail holes. For direct deck. mortar or adhesive set applications. PA 112 Accessory trim, concrete roof pieces for use at hips, rakes„ ridges and valley terminations. Manufactured for each tile profile. Test Ide�at3tier Test NaffielRenurt 7161 -03 Static Uplift Testing Appendix U1 PA 102 & PA 102(A) 994 -060A Static Uplift Testing 94-084 PA 101 (Mortar Set) (Adhesive Set) 25- 7094 -2 Statie Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) 25- 70948 Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) 25- 7094 -5 Static Uplift Testing PA 102 •• ••• • • • • • • • • • (4" ;•I ails, Direct Deck, • • • • . • • • • • vtjeroof) • • • • • •• ••• • • • • • •• • • ••• ••• • • • • • • • % • • • • ••• • • • • • Daft Dec. 19131 March, 1994 May 1994 Oct. 1994 Oct. 19994 Oct. 1994 NOA Na: 82- 1211AS Ezorauen Date:1Zl161i#7 Appr ®vat Date: MOM Page 2 of 6 Test Ascv 11e Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technob*es Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing service Waller FaaWneering, Inc. Wallow Engineering. Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Tai I+daaatillar 25 1193.6 25- 71$3 -5 25- 7211 -1 25- 7214 -5 7161 -03 Appendix it Letter Dated Aug. 1, 1994 P0631 -01 P0402 Project No. 307023 Test X77 224 - 47(199 520109 -1 520111 -4 520191 -1 Calculations Calculations Calculations Calculations 06/12/2003 10:36:38 AI PA Test Namemma— t Static Uplift Tossing PA 102 (2 Quik-Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -chive �vs, E�attens) Static Uplift Testing PA 102 (I Qus'lr Drive Screw, Direct Beck) static Uplift Vesting PA 102 (1 Quik.Drive Screw, Battens) Wand Tunnel Testing PA 109 (Nail -On) W'md Tunnel Testing PA. 108 '1-On) Wind Tunnel Testing PA 108 (Mortar SO) Withdrawal Resistance Testing of SCMW vs. s UKAh s nails Wind Drivers Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynmr& Multiplier Avfoment of Gravity 25 -7094 25 -7496 Feb. 1995 Feb. 1995 Maxcls, 1995 March, 1995 Dee, 19x11 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 March 1999 Sept. 1999 February 1996 APIR 1996 Calculations 25-7584 December 2:5-7904b-8 1996 25-7904-4 & 5 25- 7848 -6 calculations 25 -7183 March 1995 Calculaiiars.. . . .Ac&p4ynaWc Multipliers April 1999 Calcuiasti+ons. •': 3 Alive Set sem April 1999 ••• • • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • • •• •• ••• • • ••• • • NOA No-- 82- 1211.08 Expimflan Date: 17116107 Approved Date: 0110M PjV3of6 06/12/2003 10:36:38 AM P.3 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set file applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayme nt shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 havin. 3.5 30/94 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the undedaymennt material manufk6turers published literature. 3.6 This acceptance is for wood deck applications. Minimum clerk requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7 :12 and greater with a minimum of two screws. 4. 11"TALLATION 4.1 Monier Lifet ile Atlantis Shake and Slate Concrete Roof Tile and its components shalt be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calcuiatms Table 1: Average Weight (W) and Ditnensions Q x w ) Tile Profile Weight W (Ibf) Letngth4 (fl) Width -r (ft) Monier UIWe Atlentis Snake & Skate Tide 8.5 1.25 0.865 Table 2• c Mu trs - A Tile Profile x tf Direct Deck Application 1 Monier Lifetile Atlantis Shake & State Tile 0.24 Table 3: Restorin 9 Momenta due to -1 Tile Profile 3 ":12" V'Ar 5°:12" trAr 7':12" or greater Monier Lifetile Atlantis Shake & Slate 'file Dked Deck Direct Deck direct Deck Direct Deck DkectDedc 6.0 5.9 5.8 •• ••• • • • • • •• • • • • • • • Aft • •• ••• •• • • • •• to• • ••• ••• • • •• • • • • • • • • • • • • • • % • • • • ••• • • • • • ••• • • • • ••• • • • • • • • • • • • • •• •• • •• •• ••• • • • • • • ••• • • NOA No.: 02- 1211.98 EMdratien Date: 12/16/07 Approval Date: 011M03 Page 4 of 6 06/12/2003 10:36:38 AM P.2 Table 4: Attachment Resistance Expressed as a Moment - Alb (ftdbQ for Nail -On S Tile Fastener Type Direct Deco Direr Dw* Battens Profile Resistance (min 45132" (ndn.1902" 39.0 plywood) plywood} Monier Lifeife Atlantis Shake 6 Slate Tile 2 -10d F66 Shark Naffs 30S 38.1 17.2 1 -10d Smooth or Screw Shank Nan 7.3 9.8 4.9 2 -10d Smooth or Strew Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 81.7 51.7 24.4 1 -10d Smooth or Screw Shank Nan d Coal 24.3 24.3 24.2 1 -14d Smooth or Screw Shank Nan Eave 19.0 15.0 221 • • 2 -10d Smooth or Screw Shank Nails 35.5 35.5 3-If 8 • 2 -10d Smooth or Screw 1 Shank Naffs fEaue Cup) 31.9 31.9 32.2 1 tns n with a 4' head and wswm s are tamed a min. of 2W from head of the. 48.3 Table 5: Attachment Resisance Expressed as a Moment K* (ft -UM for Two Patty Adhesive Set SVstwns Tile Profile Tile Application Minimum Attachment _ Resistance Woms- Table 5A: Attachment Resista+ace Expressed as a Moment - Mm (1114W) L. far SIn9ft Patty Adhesive Sat Systems Tile Minimum Table 58: Attachment Resistance Expressed as a Moment - M, (ft -AbQ for Mortw or Adhesive Set info Tile Attachment Profile I Application Resistance Monier:LWAe Agmft Shake & Slate Tf Morter 39.0 ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• NQA No.: 82-1211.00 Ewa DaEe:12(16107 Approval Date: 91f09193 Page 5 of 6 • • • • • • • • • • •• • • • • • • • • • • • • • • •• • • • • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• NQA No.: 82-1211.00 Ewa DaEe:12(16107 Approval Date: 91f09193 Page 5 of 6 06/12/2003 10 :36:38 AM P.1 S. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or Togo, or following statement: "Mum -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS &I Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system ftoF x DRAWINGS MOMER LIFETRA ATLANM SHAKE & SLATE CONCRETE ROOF TILE END OF THIS ACCCPTANCE C. • • • • • • • • • NO*No.: 02- 1211.08 • • • • • i • • i • • • i i • • • Expiration Date: 12/16W Approval Date: 01149/03 000 *00 Page 6 of 6 •• • • • • • • • • • • • • • • • • • • • • •• •• • • • •• •• . . ... ... . . •• • • • • • • • • • >>S6ft9iipc2ti1 0 • • • • • • • • • • • • • �t�elfl °Uca � tee' 6s�adoC •. • • • Internet mam amftw. ••jp • • • r9 +f 4 ' fi5� ig 4 fA' ;i a' t N t3 i F 4# £ ka 4 £'• s g�. R 't, .4 :4F RttF ). a 2 .2 INjTjmJ ftysim, pv6palits. LO T. Density ASTM D 1622 1.6 lbs./jL:l mmkas Compressive ASTUD 162.1 1a PSI Paranel tD rim 12 M %peadicubw to rase 'T`ensue Strength ASTM D 1623 29 PSI paudw to xise Water Absorption AM`s D 2127 o.og LbsApt2 moishim V A-SIM E 9+6 3.1 Pem / Tneh iranmission Dhaemianal ASTM D 2126 4.0.07% VolMne �?31z • • • •� • • • • • • • • @ 400 F" 2 • • ••• ••• • • • • • • • • • ••i ••• ••• +• ••Fnn,SS i3Q s -RRC ? wa contmi Examiaer •t• • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • 10 ••• go .0. .•• 0.0 04 ego 0*0 000 ------ RRC Plmdu'q' Coalrol Exanli= AI,HmvZ -PLACUM'r IDF,-rA U 1 SWGLMPATrV jo- RRC was col&,Dj 000 • :0 •0: RL I Ili. 10 ; r 000 0.: 00 000 000 0*0 so: 0 0 0* 0 ••0 • 4, • 00 0 o* o 0 RRC C Exmniaw OV :i ••• OUBLE - • •• • • • • ••• • ••• •.• 0*0 00 • • • • • • • • . • •• . •'i%ft Q; ... . . . . ... . . . . . . . • • • . • ••• • • • ••• • • L •• ••• • • • • • •• •• ••• •• • • • •• tz :' cYA C_ •. • • • • • • 4 a'vaR(4.y. • • • • • • • • • 8 41.a43 :r ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • u bhAmma Produe-ta ACCI-IFTE&NCF, jq% - L (For Rle Notpwt of ATOA.) MAAAM DRAWMC;S- . XIONf-p Cwter AT Applied EmiyaceliAg #94-'060 Y Protoco 101 PA 04MI94 Cewer fbr Applied Eqlinaering 257918-IpA Maini Dade Protoml p.A .10, 12/16196 Center for Applied Eb-oic� 25-7438-3 SS TD I t -03 25-7439-4 10125/95 Center fbr Applied Fngb� 25-7438-7 SS' D 1. Y -93 11/02195 Center for Applied Enghmming 25-7492 99M 11-93 12112/45 Wes Labmukajes Pobmws Division NB-589-631 ASTM D 162 02/01/94 Ramteeh Labomtofics, Inc. 9637-92 ASTM E I oa 04130/93 SOuthwest Ram-& &aftme 01-6-741�01 1. ASTM R I og 11/16/94 01-6739-062b[ll A9M 9 84 01/16/0,i 70:50.0196-1 PA 114 03/14196 Cek*m Corp. Testing Services :529454-2,1 l mu W� I)adO Pmtm* PA 10 1 10/23508 528454-9-1 528454• 10-1 calotexx COT. Testina Se es 520109-1 Maud Dade Pratowl PA 101 5201W-2. lZa"9 52olog-6 520109-70* *e: Celatcx CMP. Testh-M 0 . : . .• 0. • 520191-W ..:Aw & 520109-2-1 "44 ZubaM RRC ?Mdact Cwtrol Rmanine, • •• •• 0.0 ACCEPTANCE lqo A MATKRYAL S: NOM of Tests- Dst-d 04A)7/99 F- AMM4.r S2 .... ....... . . ...... . ... . ...... . .... .... . . .... . s- r t .y 1: �r x d -Y T ,Yp .:'tip►' . C•= _a. °�� ";_.:'�i;��:��- t'`� ::E%u r g a r i r a i J i - U > e t- Y; x K , iZ, t sue` a°..g ass j6 -� ti- rs —S5 ��i g.yi..'+ 3€ a s f m •r �.r$ y , > i ,4P" t �.c ry �- �`"'4*v.y..: „a'F --",�v •'�`"��' a � +,,L . t .�,�$7 ` ,rX":� a `�$:r ��A..,.,.,. ,., a�. c' .• �'�•.. , �.. -E.. "„k v; N...t'1.7 -y .4 r .fir.,. 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'� ,u` fir'"' _v� 'cE•t'�•Z _ ' -��; '4Ap'vff` '� ��`°" r'� '"' f � 3�::_ ':R`.2°+.t'z ��r,�,:�_.,y5 .r �•aay. ��'�, -i �K `y`' ^'� < � �a�'% 4 � � �� . ,Ya�r X^.v�.��' , - �' ',ice° 4-t y y .}.s`�1 ,°a S"�G =. 3 �fi'!�.'€y_ v'�"s� n:.�it yi" j. '-*•" - >t ^;a �� ' ki v � l' w :-. 53 ,� • �1 r 'af3f.�.��c' c3 �. �'"' `i �. eyi'�. �} '�.ip -S ,- '..,�,s 's " � 'a ��,�� ''� �'� .�� `2+?� �""•. c:� �Y`# � a a, >i:%�ax. �r z ., �ppMM,,, a 5�'�.,- f t. '"°a'' '•n'4•I 'caw 8` . SSn^. !'` M - �: : s r PSa to a 7 ti� ��Y� *� �� $ wg�# :':- '`�" � -tip- -, ' °•7 - 't'�'..�a ,-i�S •.K''� � r y� { ;yw -=a } .c +�, Y �.r, 'x .,,a � tPC, � x � h ,�. �• ,� 03� 10 o. -!MA ,I THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT ❑ WITH NO VARIANCES ❑ WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIATIONS FROM THE MIAMI SNORES BUILDING AND ZONING ORDINANCES WILL BE PERMITTED, UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. Autho•ind Signature Date FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT a BUILDING DIRECTOR PLANNING & ZONING BOARD VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE K- ,- -OWLEOGE OF ALL BUILD- ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. MIAMI S H -ORES VILLAGE �� vf-' 0 1 1 BUILDING INSPECTION DEPARTMENT .APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date - _ —p er/ - --- - - -- -- 19 -------- Name and Address - -- �� _ _1 11 ��_ —ST__ °��> --------- 3f - No._- '1�--�Q__Q StreetK..E� Registered Architect and /or Engineer _____Y -Af" 7 ',f - __ - ----------- -_____ -- -00, � ___'_--------------- - ___------------------------- Name and address of licensed contractor______ /_,e Location and legal description of lot to be built n: A/ ,/ Lot l__,E'r�,�_______L__�P_ Block_______ ____ ___ Subdivision _`7!I ____ —� d_��_. Street .and Number where work is to be donee _________« __ - ��.__ "` State work to be done and purpose of building (by floors) ------ _ rz -4c7.EZ'___-- ____ -__! �C. _ __ ------------------------------------------ ------------------------------------ - - - - -- ----------------------------------------- - ----- -- ----------------------------------------------------------------------- - - - - -- -and for no other. purpose. New Building---------------- ---- -- - --- - modeling_ --_ -- ----------- _ --- -_- Addition ------ _ ____ -. Repairs ---------------- --------- No. of Storie ____- -_ -_ -_ To be constructed o£_____? ___ _____ Kind of foundation__________ _ _______ ____- ____- __________ Roof Covering ------- _ / •i! ______________________ Estimated Total cost of impro %e ents $___ -��_- ____________Amount of Permit $_�___ i__L,e! S, l_ ------------- - ------- - ----------------- — ------- -_ Zone cubage required---- -- - - -- ( - - ----- ----- ----- - - - - -- ---Plan Cubage --------- - -- - - _/ / — — -- ----------- Distance to next nearest building_____ _______________________________ ____ ______Size of Building Lot________ ___ 1 ________ - Maximum live load to be. borne by each floor-------- - - - - -- -- __- .- -------------------- - --- - -- _---- -------- I hereby submit all be sent for said building. All no ' s wi k.1 61& 5�& and its construction may The undersigned applicant fWthis building pe t does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins ction o)t�si 'of thew suc pu blic notice or notices as are required by the Act. The undersigned agrees to employ only such s tractors, to b ormed under this permit, as are licensed by Miami Shores Village. Remarks---------------------------------------------------------------------------------- ------- - - - - -- (Si ed gn ) — - . . — — - STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -- - - -- and who, being by of the above de i therein by . tats Permit No._� Disapproved / ( Signed) —. 7/C airman -- Member _____ Member ----- -------------------------------------------------------------------------------- - - - - -- = - - -- ------------------------------------------------------- - - - -to me well known, first duly sworn, upon oath deposes and says that - the______________________________________________________________ ___________________ -____ construction, that he has carefully read the for oing application, and that he did sign the same, and that all facts _tme. Date ----- __�_ __ __ ___ Read, Sworn to and Subscribed before me. Date -- -- ---- ---- - - - - -- -- - - - -- - -------------------- - - - --- Notary Public, State of Florida ----------- - - - --- - - - - -- Building Inspector My Commission Expires____________________ PLANNING BOARD______ ______________ _______________:___________DATE ------------- ------------------------------------- - ---------- - -- Member --------------------------------------- -------------------------------------------------------------------- Member ----------------- - ----- - -------- - -------- - ------------------------ --- ---- ---- ----- ------ ----------------------------------- --- ---- - - - - -- - - - -- Member Council Approved ---------------------------------- - -------------- - -------- - ------------ Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 0-s- MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date------- - - - -�� - - -� ------------- -------------/------ - -- - -- - 19-- - - - - -- Owner's Name and Address --- 4ti2__- _� � �M 3 `�--- - - - - -- Street '/ 0 3s7- Registered Architect and /or Engineer-------------- - - - - -- — - -- ------------ - - - - -- -------------------------------------- / _ ------------------------- - - - - -- ----- — / Name and address of licensed contractor ___(,+ t_________ ��C i°�l S �/!i(.� / 3 S ,� -- - --- -------------------------------------- --------------- ---- ------ - - - - -- -------------------- ---- ------- - -- - -- Location and legal description of lot to be built on: Block-------- ------- ------ -- - -- - -- Subdivisions - -- - -- -- — — - - -- -------- ----- --- ----------- ------------------------------- Street and Number where work is to be done ------------- ___ State work to be done and purpoAof building (by floors) ____-_________G �� DN7 o ____ jp ,q✓ - -�: _ - - - - ------------------------- and for no other purpose. New Building- ----------- --- -- ------- - - -- -- Remodeling ----- -------------------- Addition---------------- -- - - -- Repairs-- ----------------- - - - - -- No. of Stories -- - -- To be constructed of- - - -- -- ---------- -- - - -- Kind of foundation--------------------------------- ------------- ------------ - --- -- Roof Covering----------------------------------------------- Estimated Total cost of improvements $_____ _S__d :_60 _ Amount of Permit $_______j_ i__S - - -------------------------------------------------------- Zone cubage required-------- - - - - -- — — - - - -- - -flan Cubage-- ----- -- ----------------------------------------------------------------------------------- Distance to next nearest building---------------------------------------- - - - - -- -Size of Building Lot ------------------------- •-------------------------------------------------------- ' Maximum live load to be borne by each floor------------ ------- - --- -- — - - ---- - - - - -- ----------------------------------------------------------------------------------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to_ - - - - -- - - — - -- - -- — - — -- - -------------------------------- - - - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under thi permit, as are licensed by Miami Shores Village. Remarks---------------------------------------- - - - - -- ---- - - - - -- ----------------------- - - - - -- ( Signed) J - - - -6 -' - - -- STATE OF FLORIDA, COUNTY OF DADE.. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared----=----------------------------------------------------------------------------------------------------- -------- ---- -------- - -- - -- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the______________________________________________________________ _________ ______________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. QQ'' Permit No.__iQ______— ______ Date____�?__�_� �______ Read, Sworn to and Subscribed before me. Disapproved---------- -- ------ -- --- ---- - - - - -- Date - - - -- ------- -- - - - --- --- - - ---- ------------ -------- --------- ---------------------- (Signed) ------------ --- #�• - - - - -- - - - -- -- -- - --- - - -- Notary Public, State of Florida uilding Inspector My Commission Expires__________________________ PLANNING BOARD ---- - ___ --- - ---- ________-------- _- _______DATE Chairman-------------------- ----------- --- ------- --- -------- ------------------------------------ Member _ Member--------------------------------------------------------------------- ------------------ - - - - -- Member - - - -- Member------------------------------------------ - - - - -- — - -- - — - - -___ Member ____ Council Approved — --- -------- - ------ - ---- -- ------ ____— __— ___-- -_ -- -Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEt1 ` APPLICATION FOR PLUMBING t" <skMIT ll PerTnit No.-- -- -( - - -- l -- � -- / —.. Date- - - - --- - kx'j y---- •- - - - --• Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall omplied with, whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of wor Owner's Name and Addres •- -- - --- -- - ---- -- ------------- No. - -- -- - - -- ---- -- - - -- Street- Registered Architect /or Engineer-. ___,___ Employing Plumbs ' _ ��L !><LLh1�.,�.C�}__ - -- No.- --- ..._ -- -- - 1�-------- Street_./ .J'.,, _[. =-_ - - -- Location and Legal D s iption Lot--- _.../--- ------ ------ - ---- -- _ Bl ---- _- --- - -------- /Subdivision -- - .— .---- - /- --- -- --- -- --- - -. /_ - -- -•. - f Street and Number'where work is to be performed—No - -__ -- Street -•- --------- �- - - -- - -- ------------------------------------- State work to be performeS and purpose of building (By Floors)------------------------------------------------------------------ - - - - -- ------------- - - - - -- --------------------- .----------- New Building-- ----- --------- -- - - - - - -- -- - - ---- Remodeling_ -------------------- - Addition ---- ------------------- .. Repairs ------ - - - - -- ------ -- - - -- No. of Stories. - - - -- -- ----- - -- - -- Size Septic Tank----------- - -- Feet of Drain Tile ----------- Nature of Water Supply: Amount of Permit Type of Feet of Tank or Drain Field from W ._------ ,- ----------- ___ ------- Size of Soakage --------- Capacity Gals.----. ............ ------------------------ --- - - - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)- --- - - - - - -- ----------- M-- --a- -er -- sier Plu- m b- -er. - - - - - - -- -- STATE OF FLORIDA, GiUl'.T'i'Y OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me weD known, and who, being by me first duly sworn, upon oath deposes and says that he is the --------------------- ------------------------------------------- -------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hin. stated are true. My Commission Expires Notary Public, State of on a NOTE-. A re- inspection fee of $1.40 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL C LOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES - - -- - CONTR. I LIST _ -- CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM -G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL - CONTR. LIST - CH!£C'K Size Septic Tank----------- - -- Feet of Drain Tile ----------- Nature of Water Supply: Amount of Permit Type of Feet of Tank or Drain Field from W ._------ ,- ----------- ___ ------- Size of Soakage --------- Capacity Gals.----. ............ ------------------------ --- - - - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)- --- - - - - - -- ----------- M-- --a- -er -- sier Plu- m b- -er. - - - - - - -- -- STATE OF FLORIDA, GiUl'.T'i'Y OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me weD known, and who, being by me first duly sworn, upon oath deposes and says that he is the --------------------- ------------------------------------------- -------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hin. stated are true. My Commission Expires Notary Public, State of on a NOTE-. A re- inspection fee of $1.40 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty materials and /or workmanship. iami Jbores 6 illage F L o R I D A i + 7: aiami Jboresilluge F L O R 1 D A s } MIAMI SHORES ILLAGE BUILDING INSPECTION OE2WMENT APPLICATION FOR BUILDING PERMIT Application is here y made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at .building during progress of the work. n 7 Date...- . _ -- �-� ,19 Owner's Name and Ad Tess �. ° � ' 2 ----.-_-_-•_---- _. .. ....._.._ No._ .. 3.. _ Stree ..... -- Registered Architect and /or Engineer..--- - --•-- ----- -- --......_...... -- ...................... - - — — — — - --- _._..... - Name and address of licensed contractor:.------ -..___ - ._ _.._._.:--.._ ........... . ...................... -- _ ------ Location ai al ption of lot to be built o rr a Lot �, . t [_(?Block. � � .. ..... _. Su vision. o'. ,'� d... j .:� - -- Street and Number w e work is to be done 6�_ ..._. State work to be done d purpose of building (by floors). � ..��'� New Budding.- ------------ _..-- - - -.._ _- ----- ._-- _— •-- --- ---- ------ - -_ -___ —_. -.and for no other purpose. g "�- ...... Remodeling ................ Addition Repairs ............... _ ...... . No. of Stories .. To be constructed of .. _.._ Kind of foundation s".._...._. .. !� _ ... - -Roof Covering /�/ Estimated Total cost of !improvements $...._..� ®... .......... _.Amount of Permit $...... _. ° .............. - Zone istance to next near buildm ,r g required-11 _ - -... __._.Plan Cubage_ -4� i�= `= - - -•- -. - - - -- g---•------• "•__._.. �- �- .r....__.Size of Building Lot ..... _ __-.._--_- ...... ......................... ..---...-------- Maximum live load to be borne by each floor. ---- _-- _- ---- _.__------------- ---- -- --- I hereby submit all the plans and specifications for said building. All notices with reference to _the building "d its consbuction may besent to - -- �f-_ e, W - ------------------------------ - - ---- ---_. _ _ .. ----- ... ..................... _ ..... .............. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all tractors or sub- contractors employ him in the work to be perf "ed u M nder this permit; and will post or cause to be posted for on on the site of the work such ublic notice or notices as are requir d by the Act. The undersigned agrees to employ only such subcontractors, on work to performed under this permit, as are licensed by Miami Shores Village. Remarks _ _ _ - ( Signed) STATE OF FLORIDA, t COUNTY OF DADE.I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, beinngg by me of the above described therein by him stated gu Permit No.- Disapproved (Signed) - -- me well known, rst duly sworn, upon oath deposes and says that he is the- ---------------------- - ---- - -_ ----- - - -. -- - -_.-._ .......... _ ...... _ ... _ mstruction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts true. _ _._.. Date. - Ze -- T-- w�s Read, Sworn to and Subscribed before me. .----------------------------- ------- - ---------- -. --- •-- --- _.T._ Notary Public, State of Florida Inspector My Commission Expires..._-_ ---_---_-....._- _--- ._ --- _ ----- PLANNING BOARD .---- _-- ___.____-- _ —_-_- -DATE Chairman___.__.._ _ __ _ _. _ Member -.._--.._...--_-_.__ .-_-_----___... ....... _........ M� �- _._..,.... +�'.:..._. ___....__...� .,.._.._ Member _.._.___ _.._..._...:_.._._...._.__...__ __......_._..._....._...._----.--_-__-- Member ........... -.... _.. _ _ Member Council Approved: - ............- ._._.. Date Disapproved -_-----.----.----.-------- ..................................................... Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is 'made necessary by improper notice for inspection or faulty materials and /or workmanship. MiAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building! of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications to �st be kept at building during piggress of the work. Dote. ._ .. ,19� Owner's Name and Address.... C i a.. I.IJ. A4 ....... r .............................. No.».a23.3 . Vt ........_. Registered Architect and /or E ngineer .................. ................... .•••.•...•.••.••..•••••...... Name and address of hcet iced contractor.. C�!�.�'.k�.Z .. :�.. :.. .... . �w.. .... .. 1� � .......................».. _. Location and legal descript('on of lot to be built on: Lot......... .... . »................._....L.. Block . .. ............... ..._.. .... .. ... Subdivision.__...._._ .. ...._...................__._.._ _ ._. Street and Number where work is to be done ... _... 1.31 NE 103 5 .... ...... _ ». _.. .._ .....__..... State work to be done and purpose of building (by floors) 2E : ROOF - »0 / rE SIilNG6 ._.._.. ».. . ___ _ ... ...._...._ ........... ...._...._...�.......... »...... »........._.............._.. ......._._ ................... -- -- -- — _... _. .... . .... ...... ................. ».. » »_ ....... »... ».. ....._ ... ..and for no other purpose. New Building ......................... Remodeling ......................... Addition ........ _................ Repaki..- »... No. of Stories .... h. g ...... To be constructed of......... .................. I.md of foundation.........._._.................. .....--- ••--- ............._.... Roof Covering......... ........�..;.............._..�. Estimated Total cost of improvements -- ------- -- ....- ..... Amount of Permit _ .............. Zone cubage required ....... :..... _ ... _......... flan Cubage.-- ..- ... - -.._ __.._ . _.. Distance to next nearest l�uil ding ................. .. ...._ .......... - _- ....._._._ -Size of Building Lot.... _.. __ ......._......._..• - -- -- ......_..._._ :Maximum live load to be me by each floor ..................... _.---.-._.-- .... - ................... .. ... .. ... _ ....._....-_._........-._ ... _._ .... ....................................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ................................................. .............. - ............ .......... .......... .................................................... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 8966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed .under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by, Miami Shores Village. Remarks ._- _ ---- - -------- _ _ ... (Signed) _ - -_ STATE OF FLORIDA, COUNTY OF DADE. ss- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap. peared.--- ..... .... ........ -- ........... _ ...... ___ . . ............... -- .... - - ... _» ........... .. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . ............................ .... .................. -.... .... .... ............. _.._.._.._ of the above described construction, that he has carefully read the foregoing application, and 'that he did sign the same, and that all facts therein by him stated are true. Permit Date.... 3�_ (r Read, Sworn to and Subscribed before me. DisapprovedA _. _.. ».. Date -- _ - .... ..-_.- .... .. ..... - ........ ....... _ .............. Notary Public, State of. Florida (Signed) .........._. ............. _ .... _......_.._...___......_...... Building Inspector My Commission Expires. ... .�. PLANNING BOARD ......._ ... .. ....... .............. _......._.....DATE Chairman .......... Member ...._ _... Member ....... ..........__ Council Approved.- _...-..__.....___ -_ __ ». ». »__ » »..____. -Date Member....... _.....__.... » ........�»».._� ..._ _... _.._ Member_ ..._._..... __....».....M...._... »_..» Member ._. _.. ..... .. ..._ _ Disapproved............ --- ..._........ --- _ ------- - --------------------------------------- Date NOTE: A ch.irge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannin.- Board. A re- inspection fee of 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. MIAMI SHORES VILLAGE 6UILDING INSPECTION DEPARTMENT I APPLICATION FOR BUILDING PERMIT All", icat,ion is hereby made for the approN•al of the detailed statument or tne plans and specifications herewith submitted for the build - jrC or other structure. herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Sho ws Shows lorida. al►d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and Village, I regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at budding during piggress of the work., I Z- , D, C_ x . svnL&&_L 103 -S&-- W7 Owner's Name and Address,�.0-r/2-y-.. Registered Architect and/or Engincer ... ;?... , ---**-*-*"***'***'**"*,*---,*""",- *�' IrTr * ....... . Name *ttd address of licensed contr ...... octo Location and le I description of lot to be built on: .... . ......... Subdivision Lod k Street and Number wheru work is to be done-a-30- A State ork to be dznnd �pse a ilding (b floors) ...... -6—g 199 y IV CA ......... ............. .......- _. -.... , ».....- ..- ................. _"...'ond for no other purpose, New Building ............. ». ........ Remodeling................ - Addition......- ................ Repairs... » ......... . .... . .. No. of Stories............. To-be constructed of .. .................. Kind of foundation -- .».- . ....... ».... ............................. .. - Roof Covering....... ......... ........... ... . . Estimated Total cost of improvements $ .... of Permit L- �• - ....... Zonecubage required ...... ......................... ..... Cubage .............. .... Distance-to next nearest building .............................. ....... ----Size of Building Lot ....... .. .. ....... ........ Maximum live load to be borne by each floor ..................... . . . . ... . ..... . ......................... . . . ....... . ....... . ........... . ........................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to .. ......... ................................................ .................................. .................................................................................. ............ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5066. Compiled General Laws of Florida, Permanent Stopplement, and has complied with the irovisions thereof, and will require similar compliance from all contractors or t;M�-contractors employed by him in the wort; to be, performed tinder this permit; and will post or cause to be posted for i ection t- the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such kb be per "ed- under this penrit, as are licensed by Miami Shores Village. Remarks ... . . . ............... . .. .......... ».._. .._ (Signed /X STATE OF FLORIDA, COUNTY OF DADE. ss- .Before me, the undersigned authority, a notagy public, duly authorized to administer oaths and take acknowledgments. penoruilly ap- peared_� . ........... _........« ........... . ...... . ......... . . .................. . . ... . ... . . . .- ........... »_.. .... ........ to me well IMOV44 and who, being by me first duly sworn, upon oath deposes and says that he is the . .................. ........................... of the above described construction, that he W carefully lead the foregoing application, and that he did sign the satne. and that alt facts therein by him stated are true.. Permit No_ Date... Read, Sworn to and Subscribed before ple, DisapprovedDate.-- . . ...... . ............................................... . .......... Notary Public, State of Florida (Stgaed) . . .... . . ................. . ..... ...............- ..... »...»..... Building Inspector My Ckimmission Expires.. PLANNING BOARD ........................... ............:.._..........DATE Chairman ...... .. ........ Member .................. . Member Member.. .. . ............. .. ............................... . Member Council Approved ..... . .. . ............... .... ...............,_..»_»...... ...Date Disapproved ,.» .».. ».._.,. »..._.- ... »..----- -..... - - - - -- ..... - * ... ... ............ Date NU a E: A charge of $1.00 will be made for making corrections or changes to this Application Aft" APPW has IS I wen .ribtalned from the Ill.trinir.--, llu,trd. A re-in--pection fee of $1.00 will be charged when such r&J=pcdIW is made necemmy by Improper notice for Insm-ticin or faulty materials and/or workmanship. �a N MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Budding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. 4 /'s - - - -,19 br Owner's Name and Address S —_�_ No. Street_ Registered Architect and /or Engineer Name and address of licensed contractor �� ` _ �_ ,L � nQ Location and legal description of lot to be built on: Lo+ Block Subdivision Street and Number where work is to be donee State work to be done and purpose of building (by floors) Z _ -and for no other purpose. New Building o /1_dyelin9 Addition Repairs___ _ _— No. of Stories ------- _ ---- ____--- To be constructed of W Rind o foundation_ _ _ _ Roof Covering 1 �� Estimated Total cost of improvements $ p ount of Permit $— � Zone cubage required-- plan Cubage ---- ------ _ --- -__�_ Distance to neat nearest building- Size of Building Maximum live load to be borne by each floor^ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Floe a Workmen's Compensation tact, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with 9e provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed)✓ - �� STATE OF FLORIDA, ss. 1` COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ ____ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. Dated __� Read, Sworn to and Subscribed before me. Disapproved a ` ' Date (S��) i4 Notary Public, State of Florida Building Insp _ , My Commission Expires -- BOARD ___ .DATE Chairman Member Member Member Member _ Member Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this'application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. �1 .i d' 47 z ®: 03 S 2,1 I e r 191E VOArC,# r,6 /Ai'Go�G. A,49 /0 tolr � ro o p 09A5 /" P'PF MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION F13R ELECTRICAL PERMIT Permit No....A -.!!.7 j ............. Date...... �o* ...�. I- .:•.•. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith for the budding or other structure herein described. This application is made in compliance and conformity with the Building Ordinan Shores Village, Fluida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at budding during progress of Work. �/�/!//�_ % n Owners Name and Address .......del... 4� O/G n �^ ��9 �F �.� .... ............i/�6/ s................. .....-No........---....... - -••- •.--................Street. - -... Registered Architect and /or En g' eer ............................. ...... _ ..............�............. ... ...... ................ .............�................. ..... ....... Employing Electrician's Name. /�%,1F/ i? i �l .e0�r .No. a. .N. .......... Street.. .... ............................ T Locationand Legal Description Lot ....... ..................................................... ......• Block ............................... ....:.. Subdivision................. ............................... X33. �D-3' Street and Number where work is to be performed— No .................. .... ..:........................-'... Streek..........__...----._.............. ..........._................... State work to be performed and purpose of building (By Floors) .......................... .. ............................................................ ................................................. New Budding .............. .........emodelin g . ................. Addition .............................. Repairs. ............................... ....No. of Stories.................... Service Underground Site Feeders ............. ....Conduit................Main Sw........................ .... Amps ...........................Main Fuses.. Amps /' . » ................. Type of Installation — Conduit i�l� r........... Tubing......... ............... B. X .L ........................Metal Moulding........ ...... ... .................. ..................................... _.. _... ....... ..........................._...._.... .....................•-- •...... ........ .................................................................. ...................... ...... ......................... Amount of Permit $.. Vin.. ......................... .............. ( Signed). .l.. .. -.........111........i.. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 9966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act,. The undersigned agrees to employ only such sub- contractors, on work to be ormed under this permit, as are licensed by `Miami Shores Village. (Signed .............................. ..... .:... :.......... ._.... ».....:_....................... Master Eleeuician. STATE OF FLORIDA, j COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................ ................................... ... .... ........ . .... .. ................ .... ......................................... ... ...... .. .... ..... ..... _ ......................... .......... to me will known, and who, being by'me first duly sworn, upon oath deposes and says that he is the ........................... _ ...... ... ... .. ....... .. ..... .... ....... _... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by ban stated are true. ..._ .... ..... .........._.... o ._......_ ......... . ...... »... ................. ». N..� ...... »...........:...... My -Commission E pires �� State of Fl orida NOTE: A m4napection fee of $1.00 will be made when such re•inspection is made necessary by. improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT - PLUS FIXTURES REPRIO. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS- RECE•P•T's No. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER . / LIST CNN= ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL, SW. CAS. j' TEMP. PERM. 0-0 Hr 1.0 Hr TRANS. - CONTIL LIST CHECK Service Underground Site Feeders ............. ....Conduit................Main Sw........................ .... Amps ...........................Main Fuses.. Amps /' . » ................. Type of Installation — Conduit i�l� r........... Tubing......... ............... B. X .L ........................Metal Moulding........ ...... ... .................. ..................................... _.. _... ....... ..........................._...._.... .....................•-- •...... ........ .................................................................. ...................... ...... ......................... Amount of Permit $.. Vin.. ......................... .............. ( Signed). .l.. .. -.........111........i.. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 9966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act,. The undersigned agrees to employ only such sub- contractors, on work to be ormed under this permit, as are licensed by `Miami Shores Village. (Signed .............................. ..... .:... :.......... ._.... ».....:_....................... Master Eleeuician. STATE OF FLORIDA, j COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................ ................................... ... .... ........ . .... .. ................ .... ......................................... ... ...... .. .... ..... ..... _ ......................... .......... to me will known, and who, being by'me first duly sworn, upon oath deposes and says that he is the ........................... _ ...... ... ... .. ....... .. ..... .... ....... _... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by ban stated are true. ..._ .... ..... .........._.... o ._......_ ......... . ...... »... ................. ». N..� ...... »...........:...... My -Commission E pires �� State of Fl orida NOTE: A m4napection fee of $1.00 will be made when such re•inspection is made necessary by. improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statument as one plans and specifications herewith submitted for the build inc or other structure. herein described: This application is made in compliance and conformity with the Building Urdinance of Miami S hores Village, 17nrida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Villap shall be complied with, whether herein spec fied` or not. A copy of approved plans and specifications must be kept at building during progress of the wank. a Date. ».........9�.r. Ownei s Name and Address '! .. � ,� =� �::� ...... -- -..— No. Street ........J®.c�._..... Registered. Architect andCor Enginer....�%»�«�. »,f ia>??'!l,.+ .............................. t nr -gym n + + : Name Ind address of licensed contractor. .... . .. ...` ..... 3" �'.._. � !� Location and legal description of lot to be built on: Lot.. .......... .... ................. _......... Block ................ .. ...._�Subdiivvision. » ».........- .... ..- ...... _.. Street and Number where work is to be done......... �......:.f »� Z ��» ..._.....�..�......._- »...... _... -.. State work to be done apd purpose of building (by floors). ....................... ....._.».�.. ........... .� » ....�... !°.... ....."........t.......?z».:� :......... ...._. ............. ......... _ ..........................» ti..-.-_.._....._.._...................... .:......and for no other purpose. New Buie ding ............................. Remodeling......... . s=!`Additfon ...... .. ................ _. Repairs.... ...... _........... No. of Stories ...... .._.........._ To'b atcoi constructed .. i . »... Kind off foundation :.-.--._-»._-...... ........ .............................._ Roof Covering ... » ...... .... ....... ....... ...... -. co improvements $.. 7l}..._.... »............ ».Amount of Permit S.» .... ........... .............. ..» ». Zone cubage required ...................... ........ » ...._...Plan Cubage ......... ......... ....................... Distance -to next nearestr building .............................. _..__...... -.Size of Building Lot. _................_..._.._.... »_ ..... ,..............._....._ Maximum live load to be! borne by each floor ..................... »....-.._. .... .. ...... » ........ .. ............. .. ... . ....... _ ..._......... _......_ ..... ............................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to .............. ............ The undersigned ap licant for this building permit does hereby certify that he understands and accepts his obligations as an employer . of Iabor under the Flora Workmen's Compensation Act, being Section 5968, Compiled Cenral Laws of Florida, ,Permanent Sup >lewent,' and has complied with thhhe rrovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perfor nod under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are require by the Act. The undersigned agrees to employ only such sub oork to pert and this permit. as are licensed by Miami.Shores Village. Remarks... »._.....� ......_. ......... _. (Signed) ». STATE OF FLORIDA,: t . COUNTY OF DADE. J ss' .Before me, the undersigned authority, a noteRy public, duly authorized to administer oaths and take acknowledgments, personally ap- peared.--..-._ ................ . ........ ........... _...... . ..... .:......_. ............. . »... »... ...__.. ._. �........... ...._. ....... »_ ...... ».........._ ._._ ......... —to me well kaown, and who, being by me first duly sworn, upon oath .deposes and says that he is the . .................. .. 1 .... .. ......................... _ .... -.- ........ : .... ......... of the above described construction that he has carefully read the foregoing application, and that: he did sign the same, and that all facts therein by him stated are true. . Permit No........ Date...... .. �......... Read, Sworn to and Subscribed before me. DisapprovedDate,._.. ». »....... .. ...... ....................... . ......... ........ ..-- » otary blc. State of Florida ( Signed) ...- . .. ..� ,...................._ ........................._.- Budding Inspector My Commission Expires.......— ....:._._.. PLANNING BOARD.__—, ...._........ »DATE ... ......... Chairman.............:...... .... ....... ............_... -._ ». .................. Member ...... ». ........_.. »............ »».... .Member ....... ... »...._. Member _..»._........ ..... „. ......._....... ;Member ..... ........... .....:.: _................... _.._ _...._ Member » ._.......... - ..».» .__. » »_. Council Approved ..... ........ Date Disapproved ............ - ...._-- ....... ........... . ............. ....................Date MUTE- A -charge Of $1.00 will be made for making corrections or changes to this application after approval has kern obtained frern the Planning hoard. A re- inspection fceiW $1.00 will be charged When such re- inspection is nods necessary by Improper notice for inaprcii► or faulty materials and/or workmanship. APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY li to re- occupy the single family residence known as: (address) hereby apply for a certificate &3'6 Wt IC2 Q'+ rat , Miami Shores, Florida. Legal Description: Lot: Block PB & PCs: I hereby certify that I understand that the zoning of the property is for single -family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Maori Shores Village, certifies only that the referenced property is being used for single- faanly purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Print Name �U For purposes of conducting the inspection required by Section 902 of the Nfiami Shores Land Development and Zoning Code, please contact: Contact Name: '&-wr tW-,on2cndXP Telephone: Ya7 Buyer Seller Realtor Company Name Application Fee ($50) paid: Cash Check No. f f jAg 2 Inspected by F . LUB I EN Approved X Denied Date 12/1/98 Comments: PAGE I OF 2 CERTIFICATE OF RE-OCCUPANCY On behalf of Mami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single -family residential purposes. MIAMI SHORES VII.LAGE, FLORIDA Date of Certification: 12 / 1 /98 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY NIlAW SHORES VILLAGE AND HAS BEEN DE TO PRESENTLY COMPLY WITH THE SCHMULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO TEE REQ THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE FAMILY DWEL1JNG PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, TTEREOF. PAGE 2 OF 2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. c Date__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building DiAs.ion of Miami Shores Village shell be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of we - Owner's Name and Registered Architect and /or! Employing Plumber's Name Ole No. 122 J Location and Lagal Description i •+* r Block A, Street and Number Where work is to be performed —Nola?a $tree" State work to be performed and purpose of building (By Flame) v 2 New-Budding _ — Remodeling AddiHrn, -- Repairs..— _.____.._._ No. of Stones.._ _...- _- _ - - -• -_ -- Size Septic Tank - J Type of Talc—_ _.-- _Capacity Cals.__ _-_.. _•- - - - - -- Feet of Drain Tile _ Dist- Feet of Task or Drain Field from Well__ �_ .__- -•. - -- _ Nature of Water Supply: City Well Size of Soakage Pit-- Amount of Permit , e ( Signed) il Plumbing Inspector. The undersigned appli �aant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlaneres Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by this AcL The undersigned agrees to.employ only such sab- contractors, on work to be performed under this permit, as are licensed by Mod Shares Village (Signed) 9", _ Master Plumbed. _ STATE OF FLORIDA, COUNTY OF DADE. Before me, the wed authority, a notary public, duly aphorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, npon'oath and. says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by trim stated are true. my Commission Expires. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made wham sn& re-inspection is made-necessary by improper notice for inspection, or faulty materials and /or warhmsanship. CLOSETS BATH TYBs.. SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBE CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE$ CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT' GREASE' TRAP SOLAR NEATER DEEP SPRKLR. WELL SYSTEM SWIM•G POOL OCNTR. Liar CHECK Size Septic Tank - J Type of Talc—_ _.-- _Capacity Cals.__ _-_.. _•- - - - - -- Feet of Drain Tile _ Dist- Feet of Task or Drain Field from Well__ �_ .__- -•. - -- _ Nature of Water Supply: City Well Size of Soakage Pit-- Amount of Permit , e ( Signed) il Plumbing Inspector. The undersigned appli �aant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlaneres Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by this AcL The undersigned agrees to.employ only such sab- contractors, on work to be performed under this permit, as are licensed by Mod Shares Village (Signed) 9", _ Master Plumbed. _ STATE OF FLORIDA, COUNTY OF DADE. Before me, the wed authority, a notary public, duly aphorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, npon'oath and. says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by trim stated are true. my Commission Expires. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made wham sn& re-inspection is made-necessary by improper notice for inspection, or faulty materials and /or warhmsanship. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/21/2004 Applicant: RADAMES Owner: ALVELO JOB ADDRESS: 233 NE 103 Contractor PIPER CONSTRUCTION CO. Local Phone: 305 - 940 -2030 Building Permit Permit Number: BP2004 -848 Page 1 of 1 ALVELO RADAM ES ST Contractor's Address: 1885 -B N. E. 149 ST. Parcel # 1121360130400 Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOT 15 & W1/2 OF LOT 16 BLK 119 Fees: Description Amount FEE2004 -6303 Building Fee $200.00 Total Fees: $20800 `� FEE2004 -6304 CCF $0.60 Total Receipts: OA FEE2004 -6305 Training and Education Fee $0.20 FEE2004 -6306 Technology Fee $5.00 FEE2004 -6307 Scanning Fee $3.00 Total Fees: $208.80 t vvl Permit Status: APPROVED Permit Expiration: 12/15/2004 Construction Value: $300.00 Work: ROOF LEAK REPAIR JUN w 2 PAID Signed: (INSPECTOR) i In consideration of the Issuance to me of this permit, I agree to perform the work covered hereunder in compliance with_all oMinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. I Signed: (Contractor or Builder) BY: SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida. Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane one) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should Idd ssed as the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). _&Z3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or over should notify the occupants of adjacent units of roofing work to be performed. /Vw� 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. Ae 5. Ponding Water. The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low - lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life e ectancy' and performance ,of the new roofing system. Ponding conditions may not be evident until the OM al roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers-(wall outlets): It is required rainwater flow off so that the.-roof is not " overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may -be necessary to install overflow scuppers in accpydance with the Florida Building Code, Plumbing. 7. Ventilati ost roof structures should have some ability to vent natural airflow through the interior of the s tural issembly (the building itself). The existing amount of attic ventilation shall not be reduco. It may benefi ial to consider additional venting which can result in extending the service life of the y 4 L_\�k - 6 / / 6(1t.- Owner's /Agent's Signature Date G•1D ft wA kwAPw —u-d salon lTm omempway w met F%nr4uksUP.iI xumrrt18P=oN w4j1lA4 r+ F v 2 ) / Page 1 of 1 High Velocity Hurricane Zone Uniform Roofing Permit Application MIAMI -DADS COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section A (General Information) Master Permit No. Process No. _ Contractors Name: Job Address: (�aX S Lice ! 3 0 —c I Roof Category F. Low Slope ❑ Mechanically Fastened Tile Mortar /Adhesive Set Tile ❑ Asphaltic Shingles ❑ Metal Panel(Shingles ❑ Wood Shingles/Shakes Prescriptive BUR -RAS 150 ❑ Other: Roof Type New Roof ❑ Re- Roofing ❑ Recovering ZRepair ❑ Maintenance Are there Gas Vent Stacks located on the roof? ❑ Yes ISi No If yes, what type? ❑ Natural ❑ LPGX Roof System Information Low slope roof area (ft.') � I Steep Sloped area (ft. ,) 1 7 Total (ft.1 Page 2 Res I &,e)a c, P,-- 33 Au lo 3 -X� MiA, C R.4 flp� ojzy OR /-) � A^ o <-' i A OWA- 0 Y� 1* N 1 - • i 14,x'• � ��. �� I ' X01(7.. 1 • 11 7A .. ''I n� -��1 .n•�,. rl� l l,l - .• Q 14 E Alt r; 1 it to /-r — O K I & . p eile It9 I-t— 1"-4 fi 0 1p ae 7r I-t— 1"-4 fi 0 1p ae 11:45 1 i * .►_iM� 1 it T.74s iroce Ms it's att /cNNwt to 11.. post/ *as cmvgkcm to ..trstsro IN -VA "a vataaty cif one) !Mae in AN91J ASCL 7 -at Tow /oaon •vfar...w via the 1141 Kts. sar •t•s IMOp:e ... t tSJ 166 tw.sAa1/ RQFWTO -stefi .sattty0: ra+Go to Coat \ �• -_ —ttYO% � trlac Iti.� Oel \■ (P.3 CYO 1 -9009a oa�a.Mm agrl o•s(Typ �' '� I fe,ce to Cost I 11/F• Is • rrnw twf 19@6 soatn r;a.sa I.kbot :Coe an d1:S •..,.: .at si ."po 6 left • wr a •N.: of t W/trKtfO t0 a/Fl tro .% t i.. � 6r i �rea•� e•Ir�tfrsl aasea i feet ser KHaa or me se• # sa,/.r+ aw Mad or .•s►sais a feet to s : %r.tr fcottQ . root n fu•a.w av I feat 0". LM' Go•Gnen1.6 ana.. Go sa•s •p we0 to r.tiy Mo PO v7 = 's. /f tw / rwsoter s -a CwsotnI. its] 1444 Gould Aar So.. rlart.a 9..46.0 Coma Sac As:a ■ j Ste as 1.2id. Lev CP 16 tty01 S ' . u, 1 3- f / @'a: /d• fence 004 ►./a• ea,C',O � i. a. i strata s sAI l .IJ arm ,I ��•'� I i I 6ro..•m rve7 7 }• I I 7TT77TTTlT1! I LLi �4• �I +i I+-!E• 1 castrate toot-@s u 7717 tit 9 IC mrsr Ros mms psi. .a 10 rsa .00 N:; Ap0.P4116C e:Q GRAN N :VEn'SA.. rQRtS PRC1r�;.-s. :� i2A XT i MGR PAGCACos RZAS �D4a raw �yiTC en/q IIJ9�NVOAI.G f: 39/E3 C @�•rA7.v:cr� - FENCE PANEL VATS K KNOTh AC NC 9778! _ j 617RC� QD� �9aMMAA1�MTASO- Do More With Every ProjeCtiT"J This fenu and �'s attachnent to the posts have beer. checked to %Wnstond 120 to trd vewty tbl psfi based on ANSI/ WE 7-86 The desv+ reference is the 1991 Nn and re's &Wk wnt 0 16d Oreoded hordQ steel sl7pp> Face 0 yd threoded her step( nails (TO) face to post 43t4 posts per Smth fkrM iutd+g Code Sec 29k91a. i (2) 16 ga. Staples 1-3/4' long (AYp) Ground Lev@I L__� 96' ■ Frew the Me South Fiords Mcirg Code - ocas not ezceedng 6 feet n heght ' she6 be cm- tructed to wept the fd- t9 Fran MP" � 4 44 r9h by 4 ach by 9 feet W% Post a � � n Pr a sad feet � be embeddded 2 oft a concrete deep. 1 foot o duet � be designed now deep Other ca the to oorPlY + proNSrons of tm chopW and D"ter M! 3 -v2wr Fence (ft fber beadtog Stress = 460 ps0 Imm Ground Level TrjTi%%h%IM 72' eAOD= RVWM ammig 24'Cp1e1r1ArL�oFFIL� L_ 12' B concrete foo s u cm r Iwo 8 sorerlrnr� eeoc s 8A PST. F = 90 PSD �Xlm O114 3 94 PILE lFb v see NIT APPUC AR E FOR &AM �rtra ERSAL FOREST PRODUCTS, ZITS, 185 PROGRESS ROA1 iV2/94 _ PLE, FL 33 FENCE PANEL MP SHEET l OF i YAYPE K KNM% PC NQ 07721 D1577ROI P ty F� �D m µ N 06- 191998 11:43 P.04 METROPOLITAN DADE COUNTY, FLORIDA METRO -DADS FLAGLLA BUILDING BUILDING CODE COMPLIANCIIE OFFICE Mao -DADS FLAGLEA BUILDING 140 WEST FLAGL6R STRIHEIT. SUITE 1603 MIAMI. FLORIDA 33130 -1663 PRODUCT CONTROL NOTICE OF ACCEPTANCE (30) 375 -�o1 �,. FAX (305) 3715 -2908 Universal Forest Products, Inc. PRODUCT CONTROL DIVISION 103 Progress Road (US) 375.2902 Auburndale FL 33823 FAX (905) 372-6= Your application for Product Approval of: Pro -Wood Fencing ' under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described In the plans, specifications and calculations as submitted by: Applicant, along with drawings prepared by Wayne M. Knoth, P.E. has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any smmendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 98-0320.01 Explres:0412^ 3101 u o guez Product Control Supervisor THIS IS THE COYERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan. Dade County Building Code Comp lance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 04123/98 Internet mall address: postmaster ®bulldlnpcodoonllne.com � F... / a Director Building Code Compliance Dept. -l_ Metropolitan Dade County 4DHomapage: httpJ/www.bulldingeedionllna . eom 0¢ -19 -1998 11:4 ?_ Unlyessal Forest Prgdgcts• Inc. P. 03 ACCEPTANCE No.: ` 913- 520.0 APPROVED : , APR Z 3 1998 EXPIRES : APR 2 2 2001 I Renewal of this Acceptance (approval) shalt be considered after a renewal application has been tiled and the original submitted documents, including test - supporting data, engineering documents. are no older than eight (a) yam. . 2. Any and all approved products shall be permanently labeled with the manufaeturees name, city, stateh and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied `vith all the requirements of this acceptance, including the correct installation of the product. d. The engineer, who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. S. Any of the following shall also be grounds for removal of this Acceptance: A. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -l%de County, Florida, and followed by the expiration date may be displayed in advertising literature. if any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer needs not reseal the copies. B. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. END OF THIS ACCEPTANCE J� t1 r1 Helmy A. Jaaka4 P.E. - Product Control Examiner Product Control Division -3- 08 -19 -1998 11:42 V Un�i a ,real Forest rrodacts. Inc. P.02 ACCEP'T'ANCE No.: 2EM0.0 APPROVED : _ AN 2 1 1998 EXPIRES APR Z001 �• • M • 1 vv_! 1. SCOPE This renews the Notice of Acceptance No. 95- 0511.01, which was issued August 24, 1995. It approves a pre- fabrioated wood fence, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County, for the locations when the pressure requirements, as determined by SFBC Chapter Z3,40 not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION The pre - fabricated wood fence and its components shall be constructed in strict compliance with the following documents: Drawings titled "Universal Forest Products, Inc., Fence Panel," prepared by Wayne M. Knoth, P.E., Drawing No. D1677R01, dated November 2, 1994, sheet 1 of 1, Drawing No. D 1958R01, dated July 14,1995, sheet 1 of 1. and Drawing No. D 1957R01, dated July 24,1995. sheet 1 of 1. bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS All permanent - set components. included but not limited to embedded anchor bolts, threaded cones, metal shields, headers and sills, must be protected against corrosion, contamination and damage at all time. 4. INSTALLATION The fence sections and its components shall be installed in strict compliance with the approved drawings. 5. LABELING Each fence section shall bear a permanent label with the atanVacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1. This Notice of Acceptance. 6.1.1 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFS ) in order to properly evaluate the installation of this system. Flelmy A. ftakar, P.E. - Product Control Examiner Product Control Division -2- y WIN P F r 'ty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERA'IIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date / ` 3 19 Owner's Name and Address �%�� AR X, 62 ` C ",e UB ZAZ No. -2 Street /1J • � �� Registered Architect and /or Engineer Name and address of licensed contractor eMd;Z & Location and l=descri ion o f lot to be built on: Lot lock � Subdivision a Street and Number where work is to be done -2 .3 a All 41" State work to be done and purpose of building (by floors), state exterior colors (submit samples) S/® c- --4-1d and for no other purpose. New Building Remodeling Addition Repairs No. of Stories Zb be constructed of ✓ e Kind of foundation Roof Covering Estimated Total cost of improvements 5 Amount of Permit 5 49 Zone cubage required Plan Cubage Distance to neat nearest building Size of Building Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligetons as an employer of Labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: ost or cause to posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees_ to I subcontr work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. as' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoVi application, and that he did sign the as= and that all facts therein by him stated are true. Permit No. Date ® Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires Chairman Member PLANNING BOARD DATE Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Par., No., ... . . ... . ... ..... ...... —1.1 .......... Application is hereby made for the approval of the detailed statement of the plans and specifications hen-with submitted for the budding oi other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flurida, and all provisions of the Law of the State of Florida, all ordinances of Miami Shorn Village and all rules and rexulationi of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and ................... No.; MW10 . ... ............ Street .... / RegisteredArchitect and/or Engineer ................................ 0--- ...... -- ........ *"** ........ **** ... ***** ... *'***"*"****'***"'**",-**'*"*"**"*,-" Z Em I . 9 �,me ............._............N01 5144"Aa.), ......... Street.21 09 an7NExadWip . ....../V ........ .............Block......../1f . . ........... . ....... Subdivisiom YJ rti3O00LO-t Street and Number where work is to be performed—No ... 49.72. AJ-JF ............ . ......................... Street.. State work to be performed End purpose of buildin ,x (By Floor$) .... .. New Building ................................ Remodeling ... V ....................... Addition.l� ...................... Itepairs. ........................... ......... No. of Stories.................... Serv'=(§;n e Pground Size Feeders-2/402Anduit.—A ...... Main Sw ............................... Amps.-� ..................... Main Fula.. ... ............... —'Amps Type of Inatallation—Conduit .... .................. Tubing............... BXL .......................... metal MoUldiog..' ..... .......................... . ... . .......................... ... »......» .................................. I ........................... ................. ............................................................................................................. . ... . ............ . ............... .. ......... .. ..................... . ....... ... . ........................... .. ............. ......... . ............. . ... ............ . ........ . ................................. ...... ............ ............. (Signed).f....! ..... . ..... Amount of Permit 7!f - . . . ........ . . . . . Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require Similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices., as are requi� ploy only such ub-contm rs, on work to he performed under this permit, as are .!d by the Act.: The undersigned agrees to em su s cto licensed by Miami Short, Village. (Signed).. STATE OF FLORIDA, COUNTY OF DADE. IL Before me, the undeljeigned authority, a notary. public, duly authorized to administer oath. and take acirnowledgments, personally appeared............................. ... i .............................. ....... ... .... . ....... . .... .. ..................... ..................... . ................ ...... ............ ..... ..... .................................... 1* , well known, and who, being by me first duly mom, upon oath deposes and says that he is the ........................... . ...... . ... . ... . ........ . . ............ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him dated an true. .... ............ ............... ..... . ..... ........................... . .............................. ........................... . ..... ..................... . . ........ . . ............ ». »»........... MY Commission EXPitez Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. GwITcm. LIGHT PLUG FIXTURES REPRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RKCZ'P'T-S No. LAMPS OUTLET OUTLET OUTLET CONN. NEATER CONN. HEAVEN HEATER!, CONTR. LIST CHECK ENT. DIST SERVICE SERVICE MOTORS MOTORS NEON R AO10 TOTAL SW. CAB: TEMP. PERM. 0-1 MP -a HP TRANS. . CONTR. LIST CHECK Serv'=(§;n e Pground Size Feeders-2/402Anduit.—A ...... Main Sw ............................... Amps.-� ..................... Main Fula.. ... ............... —'Amps Type of Inatallation—Conduit .... .................. Tubing............... BXL .......................... metal MoUldiog..' ..... .......................... . ... . .......................... ... »......» .................................. I ........................... ................. ............................................................................................................. . ... . ............ . ............... .. ......... .. ..................... . ....... ... . ........................... .. ............. ......... . ............. . ... ............ . ........ . ................................. ...... ............ ............. (Signed).f....! ..... . ..... Amount of Permit 7!f - . . . ........ . . . . . Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require Similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices., as are requi� ploy only such ub-contm rs, on work to he performed under this permit, as are .!d by the Act.: The undersigned agrees to em su s cto licensed by Miami Short, Village. (Signed).. STATE OF FLORIDA, COUNTY OF DADE. IL Before me, the undeljeigned authority, a notary. public, duly authorized to administer oath. and take acirnowledgments, personally appeared............................. ... i .............................. ....... ... .... . ....... . .... .. ..................... ..................... . ................ ...... ............ ..... ..... .................................... 1* , well known, and who, being by me first duly mom, upon oath deposes and says that he is the ........................... . ...... . ... . ... . ........ . . ............ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him dated an true. .... ............ ............... ..... . ..... ........................... . .............................. ........................... . ..... ..................... . . ........ . . ............ ». »»........... MY Commission EXPitez Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. ' MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Applicat*u is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. i Date 111/r F 19 Owner's Name and Address y- r Q!2 Qns-,NtTzsa I s No. Q *31 ME Street -S Registered Architect and/or Engineer (� q� Name and address of licensed contractor +2 C�1AM i 114 9,13 a� I't `PjQ.- `l�� Location and Is I description of lot to be built on: 116' [� 7-1174 / Lot -5.4 j�o- B Subdivision 1(p y / °i ®�dGf Stmt and Number where work is to be done D 1!NZ ^0 % / -a SA 4 State work to be done and purpose of building (by floors), state exterior colors (submit samples) New Buikding Remodeling �Addition Repairs No. of Stories X. To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ �ls Amount of Permit $� Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this budding permit does hereby certify that he understands and accepts his obligatons as an employee' of Labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigr;� 1 dto employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. r Remarks (Signed) e L Ll STATE OF FLORIDA COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the f application, and that he did sign the same, and that all facts therein by him stated are true. 6 Permit No. -` 1 Date Read, Sworn to and Subscribed before me. Disapproved Q. Date (Signed) Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT �f �,L �//_ 90 Permit Na � %�'// Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein spe ' enot. of approved plans and specifications must be kept at building during the progress of works Owner's Name and Address *ffi `-Q IR 1Q U O Q AL �+ No Street ,V E 43 J,7 // fC U P. ation and Street and Ni State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Feet of Drain Tile Capacity Gals. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit V riumumg inMpeZWF The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required uke Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Mia ' Shores - Master STATE OF LORIDA, \Y/ COUNTY DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, urn oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. Type h Permit Name Addre: Comps Phone Inspec Appro MIAMI SNORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request n v� Correction ❑ Re- Insp'n Fee ❑ � y MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. 6 ° dl- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein des 'hod. This application Is made in compliance Sad conformity with the Building Ordinance of Miami Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shahs Village and all rules and regulations of the Building Division of. Miami Shores Village shal!1 be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. A � �' l � � � <<- ._ _.. No a � � � � Street . r . d—�� ...... _ Registered Architect and /or Engineer _...... _ . _.... __ .. .._�_...._ . ��iciSfSht 8u�i jeg�•s c i vv1� -..� rJ tJ L • .....,,,.. .. / a % - ...- -..�.- Na itrs�.........,............,. - ...�. ptf�n Lot Ih A r.� P G3 �sr mat Fo i b $ 1 I �i . Subdivision. ►i�wo 15f'd�ezS �PeerT'•• S Street and Number where work is to be performed —No. 2 Lb ° LS State work to be performed and purpose of building (By Floors) EP_m =t 2= New Building. ........_. Aemode Addition...___._......_..... Repairs ....... ... .............. No. of Stories.................. Size Septic Tank Type of Feet of Drain Tile — Dist- Feet of Teak or Drain Field from Well___. Nature of Water Su�ygy: City —Well. Size of Soakage Pit--.- Amount of Permit $ ;" (S) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Ad. being Section 5988, Compiled Cenral Laws of Florida Permanent Supplement, and 11Yr Com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woo€,' to be performed under this permit{ and will post or cause to be posted! for inspection on of the such public notice or notices as am required by the Act. The undersigned agrees to employ only such sub-oen work bs perf under this permit, as are licensed by Miami Shores Village, ( Signed�� Mader Plumber. I STATE OF FLORIDA. en COUNTY OF DADE. Before me, the undersigned authority. a notary pub11% duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly swag, upon oath d�e� and Says that he is the r__ .__ _... _ _... __ ... »....... ... __. of the above described construction, that he has carefully read thS ioremraing applicadon. and that he did sign the same, sod that all fads therein by him stated are true My C.onomisdoo Ercplres Notary Public, State of Florida NOTE: A rainspection fee of $1.00 will be shade whaa smi n4aspeodom Is saale•aeosesas-1 by I s am it notice for iimpectioa. or faulty materials and/or worl®auship. CLOSETS BAT" TYas SNOWSRS LAVA- TORIas SINKS SLOP SINKS LAUNDRY TYas URINALS CATCH BASIN FLOOR DRAIN DRINKING FOYNT'Ne TOTAL RI:TYRes CONTR. 4 LIST CHLCK S&PTIC TANK sawtR Comm. DRAIN FIRLD SOAKAO[ PIT GRCASa TRAP SOLAR H[ATKR DEEP WILL SPRKLR. SYST[N swim's POOL COMM. I LIST r- CN[CK Size Septic Tank Type of Feet of Drain Tile — Dist- Feet of Teak or Drain Field from Well___. Nature of Water Su�ygy: City —Well. Size of Soakage Pit--.- Amount of Permit $ ;" (S) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Ad. being Section 5988, Compiled Cenral Laws of Florida Permanent Supplement, and 11Yr Com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woo€,' to be performed under this permit{ and will post or cause to be posted! for inspection on of the such public notice or notices as am required by the Act. The undersigned agrees to employ only such sub-oen work bs perf under this permit, as are licensed by Miami Shores Village, ( Signed�� Mader Plumber. I STATE OF FLORIDA. en COUNTY OF DADE. Before me, the undersigned authority. a notary pub11% duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly swag, upon oath d�e� and Says that he is the r__ .__ _... _ _... __ ... »....... ... __. of the above described construction, that he has carefully read thS ioremraing applicadon. and that he did sign the same, sod that all fads therein by him stated are true My C.onomisdoo Ercplres Notary Public, State of Florida NOTE: A rainspection fee of $1.00 will be shade whaa smi n4aspeodom Is saale•aeosesas-1 by I s am it notice for iimpectioa. or faulty materials and/or worl®auship. MIAMI SHO"�.VIILLAGE BUILDIAG DEIT,&RTMENT G5 305-195-2204 Building -Inspection Request iX t Date, Type Insp'n Permit N d Name Address Company Phone # Inspectior Approved Correction Re-Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUI LDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn*W for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fkaida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Sbmvs Village and all rules and regulations of the Building Division of Miami Shores Village shall he complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. � 3 Date (DGA' - 1 19 0 Owner's Name and Address ' 11- C � � 0 6a 3 C A No. 2-33 Street n E— Registered Architect and/or Engineer Name and address of licensed contractor 0XI I9%rnl `' M4 %'C\eg C45rA(XL-n l �5S-�T RE Location end legal description of lot to be built on:j Lot V 1 V/ Block fff Subdivision ' // e7 ,/.1P� d� f % Street and Number where work is to be done fj State work to be done and purpose of building (by floors), state exterior colors (submit sampiesl " ( �` and for no other purpose. New Building J Remodeling Addition_ _, Repairs Na of Stories 1b be constructed of Kind of foundation Roof Covering �l � ,- E8dfP s Estimated Total cost of improvements $ + 50 6 ° L,) ® Amount of Permit $ - Zone cabage required Distance to next nearest building Maximum live load to be borne, by each floor Cubage of Building I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen 'S Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned s to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / /'1 r—In Remarks (Signed STATE OF FLORIDA COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. Date Read, Sworn to and Subscribed before me. Disapproved _ ate I C2 Notary Public. State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD Chairman Member Member Member Member Member Council Approved Disapproved DATE Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. r- ':d , �, .: '.Y �3' ;f -- I ��;' ,,:� E /03 Sf- z33' 1V. IS. 1v3rd 5%. LEGAL 3.5v W 169 Blk 119 K B #5 RECORD-GARBAGE TAX IfAD�D"RESS V til 000. is /l/48 PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER George C. Diggs (o) 1948' 12. is -ai_y� ,$'�•e)o / -� -y� /l7� l9su /;k_V_ w h1l 79.7. OWNER'S NAME PRESENT ADDRESS LICENSE NO. I PHONE NO. GEORGE DIGGS I 5880-N JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION 233 N E 103rd St 15;* 16 .±rnrvoni LICENSE NO. Frank T. Rooney 7- 6695 12106 BUILDER'S BOND 41 6829 % 7/ 16/48 I M I 2400 ) �9 I 726 BUILDING PERMIT NO. DATE PERMIT FEE $ NO. DATE !/16/i46 ,. -7 ZONE ? REQUIREMENTS 151500 CU. PLAN CUBE , 21!209 CU. FT. EST. COj;000.00 `. DATE DRAWINGS, SPECIFICATIONS,, RESTRICTIONS AND CUBE CHECKED BY: TYPE ROOF CONSTRUCTION :- INTERIOR CONSTRUCTION �''ratde .. -x I CBS ISTORIES1 11 Tile floors -Porch - Cem file NEW CONSTRUCTION DESCRIPTIO10ik Liv Rm —Din Rid - Porch - Sit - BedRm 1 Bafih; Maid's room &.1 Bath dower' REPAIRS and `. a upstairs. DESCRIPTION ALTERATION e 2-car- Garagp, ADDITION Bldg IY1S BCtOr .TDH APPROVED REJECTED REFERRED TO COUNCIL I ' REASONS SUB MITTEDTO I -- - - - RE- SUBMITTED i'O -PLANNING BOARD-- - :.,., -- REMARKS SUBMITTED TO VILLAGE COUNCIL = 5 4th ave CERTIFICATE OF OCCUPANCY NO. ISSUE BY eY TO George 990 - -- .B1J_I_LD-1_Nfa -_ PERMIT- A_ ND_ I- NSPECTIQN_ RECQRL !_— M1AIf91,_SHORES,YL�.L.AGE BUILDING INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION �} _23 -48 JDH BEAM^- & LINTELS • , - FRAMING FINAL CLEAN -UP PLUMBING PERMITS ;& INSPECTIONS CONTRACTOR Hitchcock P14ONE ;. /Don PERM T NO. 6858 DATE !T -8 IFEE $ 32* REPAIRS _4 NEW BLDG. 4 ALTERATION ADDITION %I SPECIAL PERMITS PERMIT NO. DATE FE 'TEMPORARY SERVICE SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT', BY kou!C:41NG JDH 9 1*8 JDH !GAS SEWER SEPTIG'TANK SOLAR HEATER FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR F �jfigQ 1- PERMIT NO. 9 DATE '8/25/48 FEE $ 11.1 NEW BLDG. S I ALTERATION ADDITION I REPAIRS SPECIAL (PERMITS PERMIT NO. DATE FEE TEMPORARY SE VICE C ne3_iUS $ H. W. HEATER -CONN. $ RANGE CONN. + $ MOTORS $ FIXTU ES INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 2 g ROUGHING H. W. HEATER CONN _RANGR CONN. FIXTURES &FINAL JDH APPROVAL TO PgWER CO. FOR SERVICE DATE BY JDH e.�'� (!t''i �!'�"y x°, ..•• (:Z "'i �4 „ • T j agant or oe. r i BUILDING ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 6142 Work to be performed under this Permit Owner of ^ = { Building Architect Contractor .4-" or Builder Legal Lot Description f d �"� �' I Bl. Address of Building DATE 195 � Contractor's !+� License No. Subdi- vision Value of Amount of Project $ -, i = Permit $' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed:— �' r` BY: —- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertainin th 'eto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting is ermit I assume respo s bility for all work done by either, myself, my agent, servant or employee. CQ4Z4LCTOR OR BUILDS ' BY AUTHORITY 6 �gz,�- BUILDING ❑ ELECTRICAL ❑ PLUMBING ROOFING ❑ PERMIT N° 6772 Owner of Building) Architect Contractor or Builder Legal Lot Description — Work to be performed under this DATE 195 -_ Contractor's License No. Subdi- II Bl. — vision Address of r Value of Amount of --- Building f Project Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications4 and that he assumes responsibility for work done by his agents, servants or employees. f� Signed: B'f: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict con ;ormity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting is permit I assume responsibility for all work done, by either, myself, my agent, ser -vant pr employee. CONTRACTOR OR BUILDER BY 'AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE._ 19_ ELECTRICAL ❑ PLUMBING ❑ PERMIT N 9 6,319 Contractor's License No. — ROOFING ❑ ❑ Work to be performed under this Owner of Building Architect Contractor or Builder Legal Lot Subdi- Description _ I Bl. vision -- Address of Value of I! Amount of Building Project Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: —_ — INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances cmd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY nilor W BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DA PERMIT N° 6300 Work to be performed under this [M Subdi- vision Contractor's License No. I Address of i1 Value of Amount of Building Proiect $ �I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: ____ — INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances aed regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ..DOT ° MIAMI SHORES VILLAGE, FLORIDA ,,,+'�. BUILDING DATE 194 ELECTRICAL PERMIT N° 6829 contractor's PLUMBING License No. Work to be performed under this Permit .A t. t. kr,-5 Owner of Building Architect— _4?,� , Contractor or Builder - Y�_ Legal Lot / Description Address of -'1 This permit is granted to the contractor or builder named`above`to construct the building oi�to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assum�nes th esponsibility its thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or draxtvings stn the 'ten r specifications,ancj4ha e assumes respon- sibility for work done by his agents, servants or employees. ' � i 9 a Joe In consideration of the issuance to me of this permit I agree to perform the work co}�red pertaining thereto and irg,strict conformity with the plans, drawings, statements 01 specifitationsIn accepting this permit assume r onsibility for all wo done by either myself, my agent,' sery y + CONTRACTOR OR BUILDER P s BY AUTHORITY Bl. Subdi- vision k +- "* Value of,,,,� Proiect ,e -:120 1 05C II Amt. of Permit' This permit is granted to the contractor or builder named`above`to construct the building oi�to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assum�nes th esponsibility its thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or draxtvings stn the 'ten r specifications,ancj4ha e assumes respon- sibility for work done by his agents, servants or employees. ' � i 9 a Joe In consideration of the issuance to me of this permit I agree to perform the work co}�red pertaining thereto and irg,strict conformity with the plans, drawings, statements 01 specifitationsIn accepting this permit assume r onsibility for all wo done by either myself, my agent,' sery y + CONTRACTOR OR BUILDER P s BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194 - ELECTRICAL PERMIT N° 6989 Contractor's PLUMBING License No. - Work to be performed under'this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Subdi- vision Value of Aint. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either my/ self, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit No. 922925--- / / 9!i� Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) Wlw% �G�l') Phone # Owner's Address J33 AJ l= ld 3 6 7 City I%% /fai77 /` SW/Z6S State F64- Zip Tenant/Lessee Name Phone # _ C7Roofing Job Address (where the work is being done) 07 3 4 /f S City Miami Shores Village County Miami -Dade Zip C Is Building Historically Designated YES NO v�Contractor's Company Name - nj Phone 1�Contra or'sAddr s / �� //�! G6'I J ?L,f/A City `! %�L State Zip 5 Qualifier - State Certificate or Registration No. (-� C- ^�J Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Phone # Square Footage Of Work: T yp e of Work: []Addition ❑Alteration ❑New Repair/Replace F-1 Demolition Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued. on opposite side) CCF $ Technology Fee $ Zoning Bond $ Structural Plan Review. $ CO /CC Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument s was acknowledged before me thi day of _ , 20 bl , by ().) t i-i ka �tM#A(j , who is personally known to me or who has produced As identification and who did take an oath. NOTARY Print: c Si Contractor The foregoing instrument was acknowledged before me this—No- day o 4 , by �Id- who is personally known to e or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: - State of Florida i A ` =_My oWIT g3fi15Y Commission # DD217720 My Commissio p _ Delon #DD My Commission Expires: 2.•' wry Assn. Bonded By National Notary Assn. APPLICATION APPROVED BY: chc 05/13/03 Plans Examiner Engineer Zoning lY.�i�ilill �11J1 G� �` llld.�' � Building De art Pnt �� 5 ED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 AU 2 2805 Tel: (305) 795.2204 Fax: (305) 756.8972 1IUILDING Permit No. F; 5 -1 PERMIT APPLICATION Master Permit No. FBC 2001 hermit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Ti ehold VVXC`.c, ij Phone # Owner's Address '2"3 J j l G 3 S t 1 r l Cite Tenant/Lessee Name State Job Address (where the work is being done) Zip Phone # D33 �C 3 1 (,Ruo� City Miami Shores Village County Miami-Dade Zip 3 Is Building Historically Designated YES NO �e �n�q Ct' � Contractor's Company Narne '� �� E�c Phone # l l � 2" r Conara.ctor's Address Citp Qualifier State )n Zip `fit -� q 4 `— State Certificate or Registration No. �O Certifica.te of Competency No. Architect /Engineer's Name (if applicable) J9, S Value of Work For this Permit Ll-` a Type of Work: A dition ❑Alteration ❑New Describe Work: c i. G� Phone # Square Footage Of Work: 5 / 6-0 - Repair /Replace ❑ Demolition I 't i_L— ' Submittal Fee S Permit Fee S � 2—,1 CCF S '1 1 - 4 0 CO /CC Notari S Training /Education Fee S (!-50 Technology Fee S (B , 20 Scanrlin- S 5•(DO Radon S Z )uinr Bond S ;ode G+niiareement S Stnlctural Plan RevieiN. S 'i oo! Fea Thos,, 3)trc S 4� C wl on11ww' slw Bonding Company's Name (if applicable) I Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Uri Litt; _ State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR' IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding 52500, the applicant must promise in good.faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b appro an a reinspection fee will be charged. Signature Signature ` Owner or Agent The foregoing instrument was acknowledged be e me this day of '20f 0., by who is personally known to me or who has produced My Commission Expires: who did take an oath. My Commission Expires Jun 5, 2009 Commission # DD 436152 Contractor The foregoing instrument was acknowledged before me this day of , _ (is, by 60�� U who is personally kno me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ' ""`, SUSAN C. SH— APIRO Notary Public - State of Florida My Commission Expires: ` ^��; �CommissionExpkesJu125.2007 20 Bonded By National NotaryAssn. APPLICATION APPROVED BY: Chc 05/13/03 Plans Examiner Engineer Zoning 111111111111111111111111111 MIAMI SHORES Ilflll IIII IIIII'llllll IIII ICI VIII II ADDRESS IIIIIIIIIIIpANA .MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT �P LICATION FOR ELECTRICAL PERMIT Permit No, - - -- -� Date-- - - -- -� -. Application is reby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ------- _______— _2__- _____ =___ — ^`_ No.__ -1 3 J / /LL Street_________'! Registered Architect and /or Employing Electrician's Name - -- -L 1--- r,c--- - - --------------------------- -- -- -- - - -- No._� —_ate_ &_—` -- — f---- --- - -- Location and Legal Description LOt__1'--- K _ _ ______ ____ ____ _______ —_ —_ _ -___ Block ____- ___ -1_ -L— )-- _— ______________ Subdiviision__- -`�� Street and Number where work is to be performed—No --------- %__- ______________ w ------------- Street --------- __l __!_ _- --------------------- - State work to be performed and purpose of building (By Floors) _______________________________ — ------------- - ------ — ------ _ ---- ----------------------------------------- New Building -- ------------- - ---- ---- - - - - -- Remodeling--- ----------- -------- -- - - -- Addition----- --------------- - -- - -- Repairs--- ------- ---- -- - - -- — No. of Stories..--------- - - - - -- Service Overhead Size Feeders_ _______________ Conduit- _____ - -____ Main Sw.________- _ —_____ Amps. Main Fuses ----- — ___________Amps. Underground — - Type of Installation — Conduit________________ Tubing ---------------- B.X.L --------- _ ------ Metal Moulding Amount of Permit (Signed) f Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to he performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. P �..+ol (Signed) _ ' ? Master Electrican. STATE OF FLORIDA, � C �7 -�-F� � �• �.�t �-v� COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------- -- --- - --------------------------- - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- -_____-_— --- — ----------------- - --- - ------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - - -- ---------- ------- ------- ---- -- - - -- -- --------------------------------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK 4- ENT. SW. DIST. CAB. SEAICE MP. SERVICE PERM. MOTORS 0-1 HP TORS 1 S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead Size Feeders_ _______________ Conduit- _____ - -____ Main Sw.________- _ —_____ Amps. Main Fuses ----- — ___________Amps. Underground — - Type of Installation — Conduit________________ Tubing ---------------- B.X.L --------- _ ------ Metal Moulding Amount of Permit (Signed) f Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to he performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. P �..+ol (Signed) _ ' ? Master Electrican. STATE OF FLORIDA, � C �7 -�-F� � �• �.�t �-v� COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------- -- --- - --------------------------- - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- -_____-_— --- — ----------------- - --- - ------------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - - -- ---------- ------- ------- ---- -- - - -- -- --------------------------------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE `M PLUMBING INSPECTION DEPARTMENT] APPLICATION FOR PLUMBING PERMI r N Permit No. - Date- --- --- - - - -JD �' - -194 $ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address- - - - - -- Ge- 0-r_ zD__ DlaaE--------- --- ------ ------ -- -------- - - -- -- No ------- 2333------------------------- Street---- -N -.F' . - - - -16 --------------- - - -- Registered Architect and /or Engineer ----- u------ J>° s' --------------------------------------------------------------------------------------------------- Employing Plumber's Name ----- DOLL_Hit e-h 0_ QC- k ------------ - --------- - --- ------------ No ---------- Ei 42-------------- - - - - -- Street - - - --------------- - - -- Location and Legal Description Lot_15___9- nd___V. I6_ ---------------------- Block ---------- L14--------------------------- Subdivision --- Kta - i___Shore_s____ Street and Number where work is to be performed—No ---------- 23Z ------------- ------------------------------------ Street ---------- N—E..____ Z0Z_ r- d ------------------------------ State work to be performed and purpose of building (By Floors)- _____ -W, - -) _ baths___ OTl__ls_t___floor___and___one -- _Oil -_2 -- -Stow --- ---- -- - - -- - -- New Building ------ a--- -- --- --------- ----- - -- - -- - - - - - -- Repairs------- ----- ------ - - - - -- No. of Stories--- - - -1Q Size Septic Tank-- - - - - -7 W- R-o _l-- ---- ---------- - - - - -- -Type of Tank --- acme -n t----------- --- - - - - -- -- - - - - -- Capacity Gals.--- -- - - -7-00 ----------------------------- __ _________________Dist. Feet of Tank or Drain Field from Well_____.____I __ Feet of Drain Tile __________1_`Zs�?__. -... -- _ _ _ _ _ _ _ _ _ _ Nature of Water Supply: City—Well . ---- --- - -- -C_ tY7 ------------------------- - --------- Size of Soakage Pit- -- - ------------------------------------------------------------------------- - - - - -- Amount of Permit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as aiviVmployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on rk to be performed under this aeftit, as are licensed by Miami Shores Village. qq f (Signed 7.f Master Plumber. STATE OF FLORIDA, 1 j ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_____________________ _______________________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------------------------------------------------------- ----- -- --------------- -- - - - - -- -- - - - - -- ---------------------------------------------------------------------------------------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS S� SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT NS FIXTURES j /T.. L I ST CHECK 3 2 SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. Swim,G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK.` Size Septic Tank-- - - - - -7 W- R-o _l-- ---- ---------- - - - - -- -Type of Tank --- acme -n t----------- --- - - - - -- -- - - - - -- Capacity Gals.--- -- - - -7-00 ----------------------------- __ _________________Dist. Feet of Tank or Drain Field from Well_____.____I __ Feet of Drain Tile __________1_`Zs�?__. -... -- _ _ _ _ _ _ _ _ _ _ Nature of Water Supply: City—Well . ---- --- - -- -C_ tY7 ------------------------- - --------- Size of Soakage Pit- -- - ------------------------------------------------------------------------- - - - - -- Amount of Permit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as aiviVmployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on rk to be performed under this aeftit, as are licensed by Miami Shores Village. qq f (Signed 7.f Master Plumber. STATE OF FLORIDA, 1 j ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_____________________ _______________________________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ------------------------------------------------------- ----- -- --------------- -- - - - - -- -- - - - - -- ---------------------------------------------------------------------------------------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. l PERMIT- APPLICATION FOR MIAMI SHORES VILLAGE Date (Z 60 l;�) Job Address -JJ IV io,3 St. Tax Folio /I g p �42f 15 % !�!( I c�Lall ho (,,5 �ee 5 LOC4 -e— Legal Description �' � � 2i� --� �/q1 � Owner / Lessee / Tenant �Qy)d I J A tC POr -ilAo .a /, e, Master Permit # Owner's Address_ a3 1�3 ' J' Phone Contracting Co. ADD Address �i1Jr�s l"DU)PI'll��iflP�(��fat� Q r( SS4l- � - Phone 7 `-5,� State 4l. r`�� Jl� Municipal # Competency # Ins.Co. f� �i /-I y/-4/4 I Architect /Engineer. Bonding Company Mortgagor. Address Address Address Permit Type(circle one): BUILDI ELECTRIC PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION Square Ft. V1(e � Estimated Cost(value) i :?-�S� WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate all work will be done in compliance with all applicable laws regulating co st tion nin Furth rmore, I author'ze the above -named contractor to do the work sta Signa re of owner and/ Co do President Signature of Co r for or er- Builder D e' Date: 2 ' all C No ary as to 0(anec and /or Condo President Notary as to Contractor or Owner- Builder M COmmxS tOn Expires MY C ON17AISSIONI EXRNOV.7,1995 My Commission OIAEY PUBLIC STATE OF FLORIDA AT Uk. BONDED THRU G31`NUAi INS. UNIX MY COMMIS'JON EXPIRES MAY Or., 1994 1UNDED THRU ASHTON AGENCY, NC. FEES: PERMIT� RADON C.C.F. NOTARY APPROVED: Zoni Fire Building Mechanical Plumbi .4 TOTAL DUE 2V Other Electrical Engineering Miami Shores Village RED VED Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUN 18 20041 1 Tel: (305) 795.2204 Fax: (305) 756.8972 BU PERMIT APPLICATION FBC 2001 Permit No. O uyo— y&- Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) ��1 t Lr (`e V'3� �1 Phone # 9 O Owner's Address L �� City r) Tenant/Lessee Name State C, Zip s l 3 Phone # Job Address (where the work is being done) C ao ---� —4, City Miami Shores Village County Nfiami-Dadc Zip Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address I 'c' � t ` City 0 _ t A M I _ Phone # J - 9 4-<-' L' 3C) State lG Zip (� State Certificate or Registration No. C 0 C O `'E %-7 U 1 Certificate of Competency N Architect/Engineer's Name (if applicable) $ Value owork T rvis Tybe D (9oy Phone # Square Footage Of Work: Vr. f, ' [-]New ❑` Repair/Replace ['� Demolition * * * * * * * * ** * ** Fees * Submittal Fee $ -00 Permit Fee $ r 6V -- CCF $ 0.60 CO /CC Notary $ �^ Training/Education Fee $ Technology Fee $ Scanrtir Radon $ — Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ v � (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a co io o the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good' faith that �opy o he notice of commencement and construction lien law brochure will be delivered to the person whose proper is subjec to chm nt. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection hich occu seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection ill it 4e proved an a reinspection fee will be charged. Signature Owner or The fore oing instrument was acknowledged before me this �� day of C by who is ersonally known to me or who has produced NOTARY LIC: 1, � �sT�T.� ;'fin ��SRi�!•w��i Signature Contractor The fore Wing instrument was acknowledged before me this day of 20C // by P 11(24 I S, P.' nun , who i ersonally known tome or who has produced NOTARY Print: or"Ift My Commission Expires:( f S My Commission Expires: _ *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: JUN 2 12004 Plans Examiner Engineer Zoning Chc 05/13/03 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE I i Date 10 1r) q"1 Mr� Job Address 2�� _ Tax Folio Legal Description ( Histori cally Designated: Yes Owner/Lessee / Tenant Master Permit # Owner's Address 233 N 1�- m.2-1 Phone Contracting Co. Address Qualifier State # Architect/Engineer Bonding Company Mortgagor Municipal # SS# _ Competency # Address lx fr$_ _� Address Phone Ins. Co. No i( 4�--G -�'- -� Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ,WORK DESCRIPTION Czly Square Ft. f0 Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: construction and zoning. I certify that all the foregoing information is accurate and that all wo will be done in compliance with all applicable laws regulating Furthermore, I authorize the above -named contractor to yYO a wor stated. i / _ I � Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date Irotary as to Con or or Owner - Builder Date My Commission Expires: My Commissio �p x �RaL NOT 6RY SEAL I L R+p- 07C)qV277 My CojpyiissioN EXPIRES OFF !)E0 17,2002 FEES: PERMIT RADON C.C.F. NOTARY BOND APPROVED: Zoning Mechanical Building )'04�6� Electrical Plumbing Structural Engineer TOTAL DUE J 3 r '4 a PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ! 3 �i Job Address Tax Folio Legal Description ,," _7 , Historically Designated: Yes. j Owner/Lessee / Tenant �) �v r �VJ ��; Master Permit # Owner's Address 3 lv�Z I 0 3 .J� Phoneme -4 f No Contracting Co. I-)" Address Qualifier SS# - State # Architect/Engineer Bonding Company Mortgagor Municipal # Competency # Address Address Address Phone Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFINNG PAVING FENCE IGN WORK DESCRIPTION CaV- C:�Y/� t"ri' j�C- V�IL)i{C11.L Square Ft. Estimated Cost (value)�tJ�i WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Signature of tractor or Owner - guilder - ate SS 8925 -�6 °DPAO �� 2DOJ NOT RY S ri .� r Notary as to Owner and/or Condo President Date No as to 'ConTracQ or FLORIDA Date My Commission Expires: My Commission Exp AI:Y AT i 714103 COMNILSSION Iv— %' a Al2 t 'AW FEES: PERMIT V RADON APPROVED: Zoning C.C.F. NOTARY BOND TOTAL DUE` —` Building /M Electrical Mechanical Plumbing Structural Engineer MIAMI SHORES VILLAGE " ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. __ _ __ 7bis Date ----------- _____. � �T Application is h by madthe approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein escribed. pplication is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all. provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. °� Owner's Name and Address /� A -- -------------------------------- - - - - - -- - -- No ------- - -- ------------- Street__ -_J s ' -------- - -- - -- Registered Architect and /or Engineer _ _ --- I, ----------- Employing Electrician s N _----------------- e w N_o.___ -_ -_-__ _ Z_Z___2 _ ------ � - -------- Street --- _ �r — v - - — — Block / -+------ --------- -- - - - - -- Subdivision---------- - - - - -- Location and Legal Description, 2. ,ot ---------- --------------- -- Street and Number where work is to be performed—No ------------ _ ____ Street_--_„C? —_— __ ---- ---------------------- —__- State work to be performed and purpose of buildin g (By Floors) -----= - - - -- -----w - -------------------------------------- — ------------ --------------------------- New Building ------------------ �---- ---- - - - - -- Remodeling- --- -------- ----- -- -- - - - - -- Addition .---- --------------- - - - - -- Repairs ------------------- - -- _ __ No. of Stories ----------------- Service Uad "" d Size Feeders__ __ ____ Conduit_____ I!?%�_. ll4: Sw.___________— _______ Amps. -1� � ______ Main Fuses ------------------------ Amps. Type of Installation -- Conduit-------- -- - ----- Tabing____1' : - - - - -- B.X.L ----------------- Metal Moulding -- --- — ----- — ------------------------------- ------------------------ Amount of Permit (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understar_ds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5466, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed \agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) / Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _— ---- —_-- ---- —_ --- — ----------- — --------- _ --- _- of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - -- - --- -- - --- - --- ----- --- ----- ----------- --------------------_._-------------- ..................................................... My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES No.LAMPS REFRIG. OUTLET IRON OUTLET RANGE RANGE OUTLET CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER - TOTAL CONTR. LIST . �,Y pI � I CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS t -S HP NEON TRANS. RADIO TOTAL ` LIST CHECK Service Uad "" d Size Feeders__ __ ____ Conduit_____ I!?%�_. ll4: Sw.___________— _______ Amps. -1� � ______ Main Fuses ------------------------ Amps. Type of Installation -- Conduit-------- -- - ----- Tabing____1' : - - - - -- B.X.L ----------------- Metal Moulding -- --- — ----- — ------------------------------- ------------------------ Amount of Permit (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understar_ds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5466, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed \agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) / Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _— ---- —_-- ---- —_ --- — ----------- — --------- _ --- _- of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - -- - --- -- - --- - --- ----- --- ----- ----------- --------------------_._-------------- ..................................................... My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ��-. ,. . �. w> a . . ,. .. r .. � � w»� � %.. . � � = . . ;� }� �T�� / � � � � � � \ \ \\ �� /�� \ \`� \k ©� w \� } � � � / \_�.2�� \} _. � � ` � � � � w »«� �� S� \ :� � <? y� � %� 2 :� � � »:ww««» 2 2� � & � ��